NPIMap

Individual provider Active NPI

Luke Daniel Holden, PA

  • Physician Assistant
  • Travelers Rest, SC
National Provider Identifier
1780264556
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3985 Issued in SC
Practice address
9 McElhaney Rd
Travelers Rest, SC 29690-1734
Phone
(864) 834-3192
Fax
(864) 241-9234
NPI assigned
Apr 14, 2021
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3985 SC Primary

Addresses

Primary practice location

9 McElhaney Rd
Travelers Rest, SC 29690-1734

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

115 Blarney Dr Ste 209
Columbia, SC 29223-6291
Phone (803) 736-6262

Other practice location 2

416 Westwood Ave
Columbia, SC 29203-3969
Phone (864) 529-8279

Other identifiers 1

IdentifierTypeStateIssuer
4711PAMedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831003100 SC Practitioner - Physician Assistant 9537565411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123

9 McElhaney Rd
Travelers Rest, SC 29690-1734
Phone (864) 834-3192

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3985SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Sep 11, 2022 Accepting new patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Aug 16, 2021 Accepting new patients
Prisma Health University Medical Group CurrentSince Sep 11, 2022 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Aug 16, 2021 Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

9 McElhaney Rd
Travelers Rst, SC 29690
Phone (864) 834-3192

Interoperability endpoints

  • Direct secure messaging: lholden512701@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1780264556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MCELHANEY RD",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901734",
            "telephone_number": "864-834-3192",
            "fax_number": "864-241-9234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Blarney Dr Ste 209",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292236291",
            "country_code": "US",
            "telephone_number": "803-736-6262",
            "fax_number": "803-299-1934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 Westwood Ave",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292033969",
            "country_code": "US",
            "telephone_number": "864-529-8279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "LUKE",
        "middle_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4711PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.