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

Procare Network

Organization Nurse Practitioner · NPI 1508695495

Procare Network is a Nurse Practitioner in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

175 Carnegie Pl Ste 113
Fayetteville, GA 30214-7903
Phone: (888) 391-4999
Fax: (470) 935-2626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1508695495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalato Holts — Nurse Practitioner · (888) 391-4999
NPI enumeratedJuly 29, 2024
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address175 Carnegie Pl Ste 113, Fayetteville, GA 30214-7903

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