HOLTS HEALTHCARE PC NPI 1073146023

NPI Information

  • NPI: 1073146023
  • Provider Name: HOLTS HEALTHCARE PC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • :
  • Address: 175 CARNEGIE PL STE 113
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (470) 402-9409

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NPI Details

HOLTS HEALTHCARE PC is a family nurse practitioner in Fayetteville, GA. HOLTS HEALTHCARE PC NPI is 1073146023. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

175 CARNEGIE PL STE 113
FAYETTEVILLE, GA
ZIP 30214-903
Phone: (470) 402-9409

The provider's authorized official is Kalato Holts .
The authorized official title is Owner and has the following contact phone number (470) 402-9409.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 9/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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