Individual provider Active NPI

Kent C Holtzmuller, MD

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1861413254
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
200400682 Issued in NC
Practice address
6060 Piedmont Row Dr S FL 10
Charlotte, NC 28287-3893
Phone
(704) 495-6334
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 200400682 NC Primary
Gastroenterology Physician 207RG0100X 84656 SC

Addresses

Primary practice location

6060 Piedmont Row Dr S FL 10
Charlotte, NC 28287-3893

Mailing address

5960 Fairview Rd Ste 500
Charlotte, NC 28210-3113
Phone (704) 495-6334

Other practice location 1

3030 Randolph Rd
SUITE 200, MMG Museum
Charlotte, NC 28211-1368
Phone (704) 302-8200

Other practice location 2

16817 Marvin Rd
Charlotte, NC 28277-2196
Phone (704) 495-6334

Other identifiers 3

IdentifierTypeStateIssuer
89137T7MedicaidNC
N0068EMedicaidSC
1861413254MedicaidNC

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
I20040721000725 NC Practitioner - Gastroenterology 3072593060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tryon Medical Partners, PLLCGroup PAC ID 7113277971, 139 clinicians

Practice addresses (Care Compare)

9615 Kincey Ave
Suite 210
Huntersville, NC 28078-9140
Phone (704) 495-6334

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy195
Upper gastrointestinal (GI) endoscopy for acid reflux240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84656SCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tryon Medical Partners, PLLC Gastroenterology CurrentSince Sep 1, 2018 Accepting new patients

Locations

10635 Park Rd
Ste I
Charlotte, NC 28210
Phone (704) 495-6025

5950 Fairview Rd
Ste 330
Charlotte, NC 28210

5960 Fairview Rd
Ste 500
Charlotte, NC 28210

6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28210

6060 Piedmont Row Dr S
Fl 10
Charlotte, NC 28287
Phone (704) 489-3094

6060 Piedmont Row Dr S
Charlotte, NC 28287
Phone (704) 552-0116

16817 Marvin Rd
Charlotte, NC 28277
Phone (704) 275-3256

9615 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 489-3113

Interoperability endpoints

  • Direct secure messaging: kent.holtzmuller.1@17847.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1861413254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103113",
            "telephone_number": "704-495-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 PIEDMONT ROW DR S FL 10",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282873893",
            "telephone_number": "704-495-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3030 Randolph Rd",
            "address_2": "SUITE 200, MMG Museum",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282111368",
            "country_code": "US",
            "telephone_number": "704-302-8200",
            "fax_number": "704-302-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16817 Marvin Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772196",
            "country_code": "US",
            "telephone_number": "704-495-6334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZMULLER",
        "first_name": "KENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "200400682",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "84656",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137T7",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0068E",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861413254",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.