Procare Network
NPI 1508695495ActiveOrganization· Nurse Practitioner· Fayetteville, GA
Nurse Practitioner in Fayetteville, Georgia, registered in NPPES in July 2024. The authorized official on file is Kalato Holts, NP, Nurse Practitioner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1508695495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2024 |
| Last updated in NPPES | Aug 18, 2025 |
| Certified by provider | Aug 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (NY) |
|---|
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