Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Passport Health Holdings LLC

Organization Public Health & General Preventive Medicine Physician · NPI 1689029134

Passport Health Holdings LLC is a Public Health & General Preventive Medicine Physician in Lawrenceville, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5415 Sugarloaf Pkwy Ste 1107
Lawrenceville, GA 30043-7832
Phone: (877) 358-8648
Fax: (877) 877-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X

Record details

NPI number1689029134
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Fishburn — Chief Operating Officer · (480) 646-9020
NPI enumeratedMay 3, 2016
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022
Mailing address668 N 44th St, Suite 100w, Phoenix, AZ 85008-6507

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