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

Angela J Holder

Individual provider Family Medicine Physician · NPI 1114424124

Angela J Holder is a Family Practice in Decatur, Georgia. Qualified in 2018, 8 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018
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Practice location Address checks out

402 W Ponce De Leon Ave
Decatur, GA 30030-2443
Phone: (404) 537-2521
Fax: (404) 778-6901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 88870 (GA)

Record details

NPI number1114424124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2018
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021
Mailing address402 W Ponce De Leon Ave, Decatur, GA 30030-2443

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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