Mrs Avis Gibson Holmes, PMHNP-BC in Atlanta, GA

Mrs Avis Gibson Holmes, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Atlanta, Georgia. Her current practice location is 990 Hammond Dr Ste 600, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 861-1832.

Mrs Avis Gibson Holmes is licensed to practice in Georgia (license number RN259419) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861257149.

Contact Information

	Mrs Avis Gibson Holmes, PMHNP-BC
	990 Hammond Dr Ste 600, Atlanta, GA 30328-5510
	(678) 861-1832
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Avis Gibson Holmes
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	990 Hammond Dr Ste 600, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861257149
Provider Enumeration Date: 02/16/2024
Last Update Date: 07/15/2025

Medicare PECOS Information:

PECOS PAC ID: 6800315045
Enrollment ID: I20250521002071

Medical Identifiers

Medical identifiers for Mrs Avis Gibson Holmes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861257149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN259419 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Avis Gibson Holmes allows following entities to bill medicare on her behalf.

Entity Name	Growth Mindset Wellness Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699408005 PECOS PAC ID: 7315323474 Enrollment ID: O20220928000242

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Avis Gibson Holmes is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Avis Gibson Holmes, PMHNP-BC 3300 N Triumph Blvd Ste 500, Lehi, UT 84043-6475 Ph: (801) 821-2613	Mrs Avis Gibson Holmes, PMHNP-BC 990 Hammond Dr Ste 600, Atlanta, GA 30328-5510 Ph: (678) 861-1832

Reviews and Comments

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Mrs Avis Gibson Holmes, PMHNP-BC - Medicare Nurse Practitioner in Atlanta, GA