Healthcare Provider Details

I. General information

NPI: 1407556970
Provider Name (Legal Business Name): CHERIE NICOLE HOLMES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 COLLIER RD NW STE 2055
ATLANTA GA
30309-1721
US

IV. Provider business mailing address

95 COLLIER RD NW STE 2055
ATLANTA GA
30309-1721
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-5111
  • Fax:
Mailing address:
  • Phone: 404-605-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberGAA-NP001644
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberGAA-NP001644
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number849067
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1114786
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: