Dr. Chad Ashley Holder, M.D.
in Atlanta, GA. Individual provider (NPI-1).
NPI number1912920653
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1912920653
- Entity type
- Individual (NPI-1)
- Name
- Dr. Chad Ashley Holder
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | 43961 | GA | Yes |
Practice location
1364 Clifton Rd NeAtlanta, GA 30322-1059
Phone 404-712-4583 · Fax 404-712-7957
Mailing address
1364 Clifton Rd NeAtlanta, GA 30322-1059
Phone 404-712-4583 · Fax 404-712-7957
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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