Individual provider Active NPI

David O. Holman Jr., MD

  • Family Medicine Physician
  • York, SC
National Provider Identifier
1942263116
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7059 Issued in SC
Practice address
1023 Creekside Medical Dr
York, SC 29745-8624
Phone
(803) 684-3738
Fax
(803) 684-3808
NPI assigned
Apr 10, 2006
Last updated
Apr 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7059 SC Primary

Addresses

Primary practice location

1023 Creekside Medical Dr
York, SC 29745-8624

Mailing address

1023 Creekside Medical Dr
York, SC 29745-8624
Phone (803) 684-3738

Other identifiers 2

IdentifierTypeStateIssuer
070595MedicaidSC
5915486MedicaidSC

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
I20051219000050 SC Practitioner - Family Practice 2466365614 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Family Medicine CurrentSince Oct 23, 2017 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

207 Church St
Clover, SC 29710
Phone (803) 222-3063

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1023 Creekside Medical Dr
York, SC 29745
Phone (803) 684-3730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 2

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1942263116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-3738",
            "fax_number": "803-684-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CREEKSIDE MEDICAL DR",
            "city": "YORK",
            "state": "SC",
            "postal_code": "297458624",
            "telephone_number": "803-684-3738",
            "fax_number": "803-684-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "DAVID",
        "middle_name": "O.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "7059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070595",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915486",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

Verify at the official NPI Registry.