Angela J Holder, - Medicare Family Practice in Decatur, GA

Angela J Holder, is a medicare enrolled "Family Medicine" physician in Decatur, Georgia. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 402 W Ponce De Leon Ave, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 537-2521.

Angela J Holder is licensed to practice in Georgia (license number 88870) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114424124.

Contact Information

Angela J Holder,
402 W Ponce De Leon Ave,
Decatur, GA 30030-2443
(404) 537-2521
(404) 778-6901



Physician's Profile

Full NameAngela J Holder
GenderFemale
SpecialityFamily Practice
Experience6 Years
Location402 W Ponce De Leon Ave, Decatur, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angela J Holder graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1114424124
  • Provider Enumeration Date: 04/07/2018
  • Last Update Date: 07/20/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527316603
  • Enrollment ID: I20210825003262

Medical Identifiers

Medical identifiers for Angela J Holder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114424124NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 88870 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013576

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Angela J Holder allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

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Entity NamePonce Primary Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477865681
PECOS PAC ID: 6406987544
Enrollment ID: O20100706000463

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Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Angela J Holder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Angela J Holder,
402 W Ponce De Leon Ave,
Decatur, GA 30030-2443

Ph: () -
Angela J Holder,
402 W Ponce De Leon Ave,
Decatur, GA 30030-2443

Ph: (404) 537-2521

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Family Medicine Doctors in Decatur, GA

Dr. Jonathan Joel Perkins, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 404-501-5422    Fax: 404-501-1771
Stephen D Day, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4367 Snapfinfer Woods Dr, Decatur, GA 30035
Phone: 770-981-2100    Fax: 770-808-8445
Charles Duane Barclay, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4367 Snapfinger Woods Dr, Decatur, GA 30035
Phone: 770-981-2100    Fax: 770-808-8445
Dr. Charles S Finch Iii, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3831 Valpariso Cir, Decatur, GA 30034
Phone: 770-981-7685    
Byron Thomas Kelly, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 445 Winn Way, Decatur, GA 30030
Phone: 404-294-3835    Fax: 404-508-7795
Dr. Nicholas Church, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2801 N Decatur Rd, Suite 295, Decatur, GA 30033
Phone: 404-778-6400    Fax: 404-778-6426
Dr. Syed Zia Ullah, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2536 Lawrenceville Hwy, Decatur, GA 30033
Phone: 770-934-6832    Fax: 770-934-6337

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