MEDICARE: JOEL HOLCOMBE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	049405	GA
2	207P00000X	Emergency Medicine Physician	ME119322	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	930103245	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	52821815018	OTHER	GA	BCBS
2	338048	OTHER	GA	WELLCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	52821815-019	OTHER	GA	BCBS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043205669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOEL HOLCOMBE MD

Provider Business Mailing Address
First Line	:	1300 MICCOSUKEE ROAD
Second Line	:	BIXLER EMERGENCY CENTER
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308
Country	:	US
Telephone Number	:	850-431-0911
Fax Number	:	850-431-0779

Provider Business Practice Location Address
First Line	:	1309 THOMASVILLE ROAD
Second Line	:	PHYSICIAN BILLING OFFICE
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303
Country	:	US
Telephone Number	:	850-431-7289
Fax Number	:	850-431-6975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2005
Last Update Date	:	06/02/2014

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Directions to “ JOEL HOLCOMBE MD” Practice Location

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