Active NPI
John W Holman, M.D.
- Internal Medicine Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12721
- Practice address
- 104 Liner Dr
Greenwood, SC 29646 - Phone
- (864) 227-1115
- Fax
- (864) 227-2046
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 12721 | SC | |
| Internal Medicine Physician | 207R00000X | 12721 | SC | Primary |
Addresses
Primary practice location
104 Liner Dr
Greenwood, SC 29646
Mailing address
104 Liner Dr
Greenwood, SC 29646-2310
Phone (864) 227-1115
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jholman127290@selfregional.direct-ci.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Emory University School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Venture CT
Greenwood, SC 29649-8558
Phone (864) 725-5594
298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29040 | SC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients | |
| Piedmont Internal Med PA | Internal Medicine | Past | Accepting new patients |
| Self Regional Healthcare | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6875
Chicago, IL 60675
104 Liner Dr
Greenwood, SC 29646
Phone (864) 227-1115
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Organizations & group practices 6
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.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Psychiatry Physician
- Greenwood, SC
- NPI 1205141371
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Internal Medicine Physician
- Greenwood, SC
- NPI 1528055084
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
-
- Diabetes Educator Registered Nurse
- Greenwood, SC
- NPI 1417582503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1922095405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LINER DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462310",
"telephone_number": "864-227-1115",
"fax_number": "864-227-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LINER DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29646",
"telephone_number": "864-227-1115",
"fax_number": "864-227-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "JOHN",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "SC",
"license": "12721",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "12721",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jholman127290@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "104 Liner Dr",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "29646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.