BRADLEY T HOLT (PA) – Physician Assistant, NPI 1154356889
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for BRADLEY T HOLT (PA)
1007 Greenfield Dr
Tifton, GA 317943795
Phone: (229) 382-9733
Fax: (229) 387-6161
Type: Location
907 18TH ST E STE 400
TIFTON, GA 317943684
Phone: (229) 382-9733
Type: Mailing
1641 MADISON AVE
TIFTON, GA 317943757
Phone: (229) 353-2284
Type: Location
18th Street East, Tifton, Tift County, Georgia, 31794, United States
SUITE 150
TIFTON, GA 317943643
Phone: (229) 382-9733
Type: Mailing
1007, Greenfield Drive, Tifton, Tift County, Georgia, 31794, United States
TIFTON, GA 317943795
Phone: (229) 382-9733
Fax: (229) 387-6161
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $2,537.
Total Amount is formed as General ($2,537) + Research ($0) + Ownership ($0) = $2,537.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Silk Road Medical, Inc. ($2,302).
Total Amount
$2,537
General + Research + Ownership
Payments
23
Total payment records
General Amount
$2,537
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Silk Road Medical, Inc. | $2,302 |
| Bard Peripheral Vascular, Inc. | $51 |
| Shockwave Medical, Inc | $35 |
| Imperative Care, Inc | $32 |
| Paratek Pharmaceuticals, Inc. | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-07-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050728000269 | I | Physician Assistant | GA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 31794)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | GA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Family Practice, Emergency Medicine | GA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease | MD | |
| - | GA |
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