Active NPI
Retina of Coastal Carolina, PLLC
- Ophthalmology Physician
- Wilmington, NC
National Provider Identifier
1326089442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA OF COASTAL CAROLINA, PLLC
- Practice address
- 1801 New Hanover Medical Park Dr
Wilmington, NC 28403-5351 - Phone
- (910) 254-2023
- Fax
- (910) 254-0242
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Douglas Holt, MD
- Title
- MD
- Phone
- (910) 254-2023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | |||
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X |
Addresses
Primary practice location
1801 New Hanover Medical Park Dr
Wilmington, NC 28403-5351
Mailing address
1801 New Hanover Medical Park Dr
Wilmington, NC 28403-5351
Phone (910) 254-2023
Other practice location 1
14 Doctors Cir Ste 4
Supply, NC 28462-4088
Phone (910) 254-2023
Other practice location 2
1899 N Marine Blvd Ste 400
Jacksonville, NC 28546-6535
Phone (910) 254-2023
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01315 | Other | NC | BCBS OF NORTH CAROLINA |
| 790129C | Medicaid | NC | |
| QPA675 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060612000243 | NC | Part B Supplier - Clinic/Group Practice | 5698787620 |
Receives reassigned benefits from 4 practitioners Practice locations: Wilmington, NC; Supply, NC; Jacksonville, NC |
National Provider Directory
National Provider DirectoryLocations
1899 N Marine Blvd
Ste 400
Jacksonville, NC 28546
Phone (910) 254-2023
15 Medical Center Dr
Supply, NC 28462
Phone 9102542023117
14 Doctors Cir
Ste 4
Supply, NC 28462
Phone (910) 254-2023
1801 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 254-2023
4000 Highway 9 E
Ste 240
Little River, SC 29566
Phone (843) 399-3331
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Wilmington, NC
- NPI 1679543870
NC, Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780358400000",
"number": "1326089442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035351",
"telephone_number": "910-254-2023",
"fax_number": "910-254-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035351",
"telephone_number": "910-254-2023",
"fax_number": "910-254-0242"
}
],
"practiceLocations": [
{
"address_1": "14 Doctors Cir Ste 4",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624088",
"country_code": "US",
"telephone_number": "910-254-2023",
"fax_number": "910-254-0242",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1899 N Marine Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466535",
"country_code": "US",
"telephone_number": "910-254-2023",
"fax_number": "910-254-0242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RETINA OF COASTAL CAROLINA, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A",
"authorized_official_last_name": "HOLT",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "910-254-2023",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Retina Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207WX0108X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "01315",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790129C",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QPA675",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.