NPI age
18 years
Enumerated 2007-06-22
● Active
Type 1 · Individual
MS. Holly Joy Dibert I, ATC
Dibert is 1 of 3 specialist/technologist, other providers in Decatur and 1 of 92 in Georgia.
Primary specialty
Specialist/Technologist, Other
Plus 2 subspecialties
Licensed in
GA, IA, MN
3 states
Status
Active
No deactivations on record
Last NPPES update
2011-10-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 92 active specialist/technologist, other providers in Georgia.
NPI age
18 years
≈ at median (17 yr)
State licenses
3 states
Top 97% — 2% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
1014 Sycamore Dr Ste B
Decatur, GA 300301644
Mailing address
2610 Avery Park Cir
Atlanta, GA 303602576
Specialties
-
Specialist/Technologist, Other PrimarySurgical technologists are allied health professionals, who are an integral part of the team of medical practitioners providing surgical care to patients. Surgical technologists work under the supervision of a surgeon to facilitate the...
-
SpecialistAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1518959006 | DR. BENDIKS |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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