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

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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

Map and Direction




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 Group6204829013660

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
Entity NamePonce Preventive Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477865681
PECOS PAC ID: 6406987544
Enrollment ID: O20100706000463
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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

Reviews and Comments


Family Medicine Doctors in Decatur, GA

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.