Theron Holtzclaw, AA
NPI 1073538955 · Anesthesiologist Assistant · Atlanta, GA
Theron Holtzclaw, AA is a Anesthesiologist Assistant provider in Atlanta, GA (NPI 1073538955).
Provider details
- NPI number
- 1073538955
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AA
- Sex
- Male
- Sole proprietor
- No
- License
- 002172 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-07-13
- Last updated
- 2010-10-01
Frequently asked questions
- What is Theron Holtzclaw's NPI number?
- Theron Holtzclaw's National Provider Identifier (NPI) is 1073538955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theron Holtzclaw's specialty?
- Theron Holtzclaw is listed in the NPPES registry with a primary specialty of Anesthesiologist Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theron Holtzclaw located?
- Theron Holtzclaw's practice location on file with NPPES is 1968 Peachtree Road Nw, Atlanta, GA 30309-1281.
- What is Theron Holtzclaw's phone number?
- The practice phone number listed in the NPPES registry for Theron Holtzclaw is (404) 351-1745.
- Is Theron Holtzclaw's NPI active?
- Yes — Theron Holtzclaw's NPI (1073538955) is active in the NPPES registry as of the last update on 2010-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.