Individual provider Active NPI

Michael D Holland, MD

  • Nephrology Physician
  • North Myrtle Beach, SC
National Provider Identifier
1942294681
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
23848 Issued in NC
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5885355OtherNCCIGNA HEALTHCARE
110095566OtherNCRAILROAD MEDICARE
43091OtherNCBCBSNC
8943091MedicaidNC
25489OtherNCMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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
I20060123001021 NC Practitioner - NephrologyPractitioner - Internal Medicine 3274443767 Reassigns benefits to 3 organizations
I20220517002505 SC Practitioner - Internal Medicine 3274443767 Reassigns benefits to 1 organization

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
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

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

OrganizationSpecialtyStatusNew patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Jan 10, 2022 Accepting new patients
Nash Hospitals Inc CurrentSince Feb 12, 2014 Accepting new patients
Boice-Willis Clinic PA Nephrology CurrentSince Jun 26, 1994 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Jun 26, 1994 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.