IndividualActive
Holly Dibert, ATC
NPI 1366648719 · Surgical Technologist · Decatur, GA
Provider details
- NPI number
- 1366648719
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00300 (IA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1014 Sycamore Dr Ste B
Decatur, GA 30030-1644
Phone: (404) 299-1700
Fax: (404) 299-1616
Street-level locationGet directions
Mailing address
2610 Avery Park Cir
Atlanta, GA 30360-2576
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2011-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.