NPI age
10 years
Enumerated 2016-05-02
● Active Type 2 · Organization
Passport Health Holdings Llc
Passport Health Holdings Llc is 1 of 131 preventive medicine organizations in Georgia.
Primary specialty
Preventive Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fishburn
Chief Operating Officer
Last NPPES update
2022-04-01
Source: monthly bulk 2026-05
How this organization compares
Across 131 active preventive medicine providers in Georgia.
NPI age
10 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
315 W. Ponce De Leon Avenue, Suite 585
Decatur, GA 300302400
Mailing address
668 N 44th St, Suite 100w
Phoenix, AZ 850086507
Authorized official
Paul Fishburn
Chief Operating Officer
📞 4806469020
Specialties
-
Preventive Medicine PrimaryPublic health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.