Passport Health Holdings, LLC
NPI 1003261629 · Community Health Worker · Roswell, GA
Passport Health Holdings, LLC is a Community Health Worker organization in Roswell, GA (NPI 1003261629).
Provider details
- NPI number
- 1003261629
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Paul Fishburn, Coo(480) 646-9020
Specialties & taxonomies
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-02
- Last updated
- 2023-02-20
- Certified
- 2023-02-20
Frequently asked questions
- What is Passport Health Holdings, LLC's NPI number?
- Passport Health Holdings, LLC's National Provider Identifier (NPI) is 1003261629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passport Health Holdings, LLC?
- Passport Health Holdings, LLC is classified in the NPPES registry as Community Health Worker (Other Service Providers).
- Where is Passport Health Holdings, LLC located?
- Passport Health Holdings, LLC's practice location on file with NPPES is 576 Colonial Park Dr, Roswell, GA 30075.
- What is Passport Health Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Passport Health Holdings, LLC is (844) 358-8648.
- Who is the authorized official for Passport Health Holdings, LLC?
- The authorized official listed on Passport Health Holdings, LLC's NPPES record is Paul Fishburn, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passport Health Holdings, LLC's NPI active?
- Yes — Passport Health Holdings, LLC's NPI (1003261629) is active in the NPPES registry as of the last update on 2023-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.