Individual provider Active NPI

Luther Hamilton Holton III, MD

  • Plastic Surgery Physician
  • Wilmington, NC
National Provider Identifier
1861517625
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
2024-00716 Issued in NC
Practice address
1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone
(910) 662-9331
Fax
(910) 662-2403
NPI assigned
Mar 20, 2007
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 2024-00716 NC Primary
Plastic Surgery Physician 208200000X D61125 MD

Addresses

Primary practice location

1725 New Hanover Medical Park Dr
Wilmington, NC 28403

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9331

Other practice location 1

2000 Medical Pkwy
Annapolis, MD 21401-3742
Phone (443) 481-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110330000562 MD Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0244413193 Reassigns benefits to 2 organizations
I20240805003058 NC Practitioner - Plastic and Reconstructive Surgery 0244413193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy30
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince Aug 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2015 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Oct 1, 2015 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Aug 1, 2024 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Jan 21, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

2000 Medical Pkwy
Cpe St Claire, MD 21401
Phone (443) 481-3400

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1725 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 662-9300

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5505 Currituck Dr
#200
Wilmington, NC 28403
Phone (910) 662-7720

Interoperability endpoints

  • Direct secure messaging: lholton1584474@direct.novanthealth.org

Organizations & group practices 9

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 1

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1861517625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9331",
            "fax_number": "910-662-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-662-9331",
            "fax_number": "910-662-2403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013742",
            "country_code": "US",
            "telephone_number": "443-481-3400",
            "fax_number": "443-481-6705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "LUTHER",
        "middle_name": "HAMILTON",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "2024-00716",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D61125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.