Individual provider Active NPI

Douglas Keith Holtzman, MD

  • Pediatrics Physician
  • Columbia, SC
National Provider Identifier
1902881717
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200544 Issued in NC
Practice address
136 Stonemark LN Ste 100
Columbia, SC 29210-3881
Phone
(888) 704-4661
Fax
(888) 239-2595
NPI assigned
Dec 14, 2005
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 200200544 NC
Pediatrics Physician 208000000X 200200544 NC Primary

Addresses

Primary practice location

136 Stonemark LN Ste 100
Columbia, SC 29210-3881

Mailing address

187 N Church St Ste 201
Spartanburg, SC 29306-5154
Phone (800) 932-2738

Other practice location 1

374 Hudlow Rd
Forest City, NC 28043-9444
Phone (888) 704-4661

Other identifiers 2

IdentifierTypeStateIssuer
89131M9MedicaidNC
144472MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140116001786 SC Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 5395813653 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC CurrentSince Sep 1, 2014 Accepting new patients
Hospice Care of South Carolina, LLC PastSince Oct 12, 2025 Accepting new patients
SCHC Pediatric Associates, LLC Pediatrics Past Accepting new patients
University of North Carolina at Chapel Hill Pediatrics Past Accepting new patients

Locations

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: dholtzman118341@capefearvalley.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1902881717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 N CHURCH ST STE 201",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065154",
            "telephone_number": "800-932-2738",
            "fax_number": "888-761-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STONEMARK LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103881",
            "telephone_number": "888-704-4661",
            "fax_number": "888-239-2595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "374 Hudlow Rd",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280439444",
            "country_code": "US",
            "telephone_number": "888-704-4661",
            "fax_number": "888-239-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "DOUGLAS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NC",
            "license": "200200544",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89131M9",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144472",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.