Individual provider Active NPI

Philip W Holton, N.P.

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1144382193
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
253 Issued in SC
Practice address
101 W Saint John St
Suite 207
Spartanburg, SC 29306-5179
Phone
(864) 542-9419
Fax
(864) 573-5918
NPI assigned
Dec 15, 2006
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 253 SC Primary

Addresses

Primary practice location

101 W Saint John St
Suite 207
Spartanburg, SC 29306-5179

Mailing address

101 W Saint John St
Suite 207
Spartanburg, SC 29306-5179
Phone (864) 542-9419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
253SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
VH Provider Group, P.a. PastSince Mar 12, 2015 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1144382193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SAINT JOHN ST",
            "address_2": "SUITE 207",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065179",
            "telephone_number": "864-542-9419",
            "fax_number": "864-573-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SAINT JOHN ST",
            "address_2": "SUITE 207",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065179",
            "telephone_number": "864-542-9419",
            "fax_number": "864-573-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "PHILIP",
        "middle_name": "W",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.