Active NPI
Laura Holland Luke, M.D.
- Pediatrics Physician
- Columbia, SC
National Provider Identifier
1396763546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 24949
- Practice address
- 3710 Landmark Dr Ste 310
Columbia, SC 29204-4034 - Phone
- (803) 898-1470
- Fax
- (803) 898-1471
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 24949 | SC | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | ME96449 | FL | |
| Pediatrics Physician | 208000000X | ME96449 | FL |
Addresses
Primary practice location
3710 Landmark Dr Ste 310
Columbia, SC 29204-4034
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101465300 | Medicaid | FL | |
| 249494 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Multi-Specialty | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Multi-Specialty | Current | Accepting new patients |
| Spartanburg Medical Center | Multi-Specialty | Current | Accepting new patients |
| Volusia Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Acute Care Pediatrics of Palm Coast, PA | Multi-Specialty | Past | Accepting new patients |
| Greenville Health System | Past | Accepting new patients |
Locations
303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285
1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- laura.luke@224964652367876.direct.elationemr.com
Organizations & group practices 7
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
Multi-Specialty
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Multi-Specialty
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
- Rural Health Clinic/Center
- Palm Coast, FL
- NPI 1225065717
Multi-Specialty
-
- Pediatrics Physician
- New Smyrna Beach, FL
- NPI 1134311640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1396763546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 LANDMARK DR STE 310",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292044034",
"telephone_number": "803-898-1470",
"fax_number": "803-898-1471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKE",
"first_name": "LAURA",
"middle_name": "HOLLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "24949",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "FL",
"license": "ME96449",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME96449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101465300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249494",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.