Individual provider Active NPI

Frank Loving Holt Jr., MD

  • Gastroenterology Physician
  • Supply, NC
National Provider Identifier
1124028014
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
99-01545 Issued in NC
Practice address
13 Medical Campus Dr NW
Suite 102
Supply, NC 28462-4093
Phone
(910) 754-5988
Fax
(910) 754-5989
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 99-01545 NC Primary

Addresses

Primary practice location

13 Medical Campus Dr NW
Suite 102
Supply, NC 28462-4093

Mailing address

3 Medical Center Dr
Supply, NC 28462-3350
Phone (910) 754-7790

Other practice location 1

3 Medical Center Dr
Supply, NC 28462-3350
Phone (910) 754-7790

Other identifiers 2

IdentifierTypeStateIssuer
1235GOtherNCBC/BS
891235GMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fholt201193@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000176 NC Practitioner - Internal MedicinePractitioner - Gastroenterology 5496894115 Reassigns benefits to 1 organization
Practice locations: Supply, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Virginia Commonwealth University, School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

13 Medical Campus Dr NW
Suite 102
Supply, NC 28462-4093
Phone (910) 754-5988

Hospital & facility affiliations

  • Novant Health Brunswick Medical Center Hospital, Supply, NC, CCN 340158
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
99-01545NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group LLC Gastroenterology CurrentSince Jun 24, 2018 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jun 24, 2018 Accepting new patients
Coastal Gastroenterology PLLC Gastroenterology PastSince Jan 1, 1990 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

9604 Holly Point Dr
Huntersville, NC 28078
Phone (704) 316-5070

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

13 Medical Campus Dr NW
#102
Supply, NC 28462
Phone (910) 754-5988

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1124028014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL CENTER DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623350",
            "telephone_number": "910-754-7790",
            "fax_number": "910-754-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 MEDICAL CAMPUS DR NW",
            "address_2": "SUITE 102",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624093",
            "telephone_number": "910-754-5988",
            "fax_number": "910-754-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284623350",
            "country_code": "US",
            "telephone_number": "910-754-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "FRANK",
        "middle_name": "LOVING",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "99-01545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1235G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891235G",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fholt201193@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3 Medical Center Dr",
            "city": "Supply",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284623350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.