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

Mia Lauren Holm

Individual provider Athletic Trainer · NPI 1346802998

Mia Lauren Holm is a Physical Therapist in Private Practice in Atlanta, Georgia. Qualified in 2023, 3 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

224B Johnson Ferry Rd NE
Atlanta, GA 30328-3820
Phone: (470) 300-6670
Fax: (470) 300-6671
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016591 (GA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1346802998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2019
Last updated in NPPESJune 1, 2023
Certification dateJune 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peachtree Orthopaedic Clinic Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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