Passport Health Holdings LLC
NPI 1275988891 · Public Health & General Preventive Medicine Physician · Decatur, GA
Passport Health Holdings LLC is a Public Health & General Preventive Medicine Physician organization in Decatur, GA (NPI 1275988891).
Provider details
- NPI number
- 1275988891
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Fishburn, Chief Operating Officer(480) 646-9020
Specialties & taxonomies
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
- 2022-04-01
- Certified
- 2022-04-01
Frequently asked questions
- What is Passport Health Holdings LLC's NPI number?
- Passport Health Holdings LLC's National Provider Identifier (NPI) is 1275988891, 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 Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Passport Health Holdings LLC located?
- Passport Health Holdings LLC's practice location on file with NPPES is 315 W. Ponce De Leon Avenue, Decatur, GA 30030-2400.
- What is Passport Health Holdings LLC's phone number?
- The practice phone number listed in the NPPES registry for Passport Health Holdings LLC is (877) 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, Chief Operating Officer. 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 (1275988891) is active in the NPPES registry as of the last update on 2022-04-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.