Individual provider Active NPI

John Frederick Holter, M.D.

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1417049412
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28215 Issued in NC
Practice address
2577 W 5TH St
Greenville, NC 27834-7813
Phone
(252) 830-3426
Fax
(252) 830-8585
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Pennsylvania State University College of Medicine, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-2732

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266

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
I20251017000683 NC Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8325349236 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Sep 5, 2025 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Current Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Sep 5, 2025 Accepting new patients

Locations

203 Government Cir
Greenville, NC 27834
Phone (252) 413-1600

215 Memorial Dr
Bldg B
Jacksonville, NC 28546
Phone (910) 378-2498

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28215 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2577 W 5TH St
Greenville, NC 27834-7813

Mailing address

2577 W 5TH St
Greenville, NC 27834-7813
Phone (252) 707-5056

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2012.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1417049412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-707-5056",
            "fax_number": "252-830-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 W 5TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-3426",
            "fax_number": "252-830-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTER",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "28215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.