Active NPI
Michael D Holland, MD
- Nephrology Physician
- North Myrtle Beach, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 23848
- Practice address
- Eastern Nephrology Associates PLLC
2021 North Point Blvd Suite 106
North Myrtle Beach, SC 29582-2224 - Phone
- (843) 663-1401
- Fax
- (910) 778-1433
- NPI assigned
- Sep 8, 2005
- Last updated
- Mar 7, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 23848 | NC | Primary |
Addresses
Primary practice location
Eastern Nephrology Associates PLLC
2021 North Point Blvd Suite 106
North Myrtle Beach, SC 29582-2224
Mailing address
Eastern Nephrology Associates PLLC
1302 Medical Center Drive
Wilmington, NC 28401-0200
Phone (910) 343-9800
Other practice location 1
1302 Medical Center Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5885355 | Other | NC | CIGNA HEALTHCARE |
| 110095566 | Other | NC | RAILROAD MEDICARE |
| 43091 | Other | NC | BCBSNC |
| 8943091 | Medicaid | NC | |
| 25489 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1302 Medical Ctr Dr
Wilmington, NC 28401-7503
Phone (910) 343-9800
20 Medical Campus Dr NW
Suite 101
Supply, NC 28462-4094
Phone (910) 754-4544
2021 N Myrtle Point Blvd
North Myrtle Beach, SC 29582-2224
Phone (843) 663-1401
511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Current | Accepting new patients | |
| Eastern Nephrology Associates PLLC | Nephrology | Current | Accepting new patients |
| Nash Hospitals Inc | Current | Accepting new patients | |
| Boice-Willis Clinic PA | Nephrology | Current | Accepting new patients |
| Boice-Willis Clinic, PA | Current | Accepting new patients | |
| Nash Hospitals, Inc. | Current | Accepting new patients |
Locations
511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200
1302 Medical Center Dr
Wilmington, NC 28401
Phone (910) 343-9800
2021 N Myrtle Point Blvd
Ste 106
North Myrtle Beach, SC 29582
Phone (843) 663-1401
Interoperability endpoints
- mholland36291@direct.acumenmd.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1972837961
-
- Physical Therapy Clinic/Center
- Rocky Mount, NC
- NPI 1952557241
-
dba UNC Health Nash Specialty Care Transport
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
-
- Cardiovascular Disease Physician
- Rocky Mount, NC
- NPI 1619903481
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba FMC Dialysis Services North Myrtle Beach
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- North Myrtle Beach, SC
- NPI 1972615789
Dialysis facility
-
dba Longs Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Longs, SC
- NPI 1083885776
Dialysis facility
-
dba Loris Community Hospital
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1942294681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "EASTERN NEPHROLOGY ASSOCIATES PLLC",
"address_2": "1302 MEDICAL CENTER DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284010200",
"telephone_number": "910-343-9800",
"fax_number": "910-343-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EASTERN NEPHROLOGY ASSOCIATES PLLC",
"address_2": "2021 NORTH POINT BLVD SUITE 106",
"city": "NORTH MYRTLE BEACH",
"state": "SC",
"postal_code": "295822224",
"telephone_number": "843-663-1401",
"fax_number": "910-778-1433"
}
],
"practiceLocations": [
{
"address_1": "1302 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017503",
"country_code": "US",
"telephone_number": "910-343-9800",
"fax_number": "910-778-1433",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "23848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "5885355",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110095566",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC",
"identifier": "43091",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8943091",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "25489",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.