Active NPI
Allen J Holmes, MD
- Emergency Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200500319
- Practice address
- 265 Racine Dr Ste 102
Wilmington, NC 28403-8745 - Phone
- (910) 399-6661
- NPI assigned
- Feb 8, 2007
- Last updated
- Aug 30, 2023
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22253 | WV | |
| Emergency Medicine Physician | 207P00000X | 200500319 | NC | Primary |
Addresses
Primary practice location
265 Racine Dr Ste 102
Wilmington, NC 28403-8745
Mailing address
265 Racine Dr Ste 102
Wilmington, NC 28403-8745
Phone (910) 399-6661
Other practice location 1
1340 Hal Greer Blvd
Huntington, WV 25701-3804
Phone (304) 526-2200
Other practice location 2
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-7000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2795855 | Medicaid | OH | |
| P01165075 | Other | NC | RAILROAD MEDICARE |
| 7100040000 | Medicaid | KY | |
| 5900923 | Medicaid | NC | |
| 1952441842 | Medicaid | WV | |
| P00387855 | Other | WV | MEDICARE-RR PROVIDER NUMBER |
| 1952441842 | Other | NC | CHAMPUS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | allen.holmes@direct.chhi.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500319 | NC | MD | Emergency Medicine Physician |
| 2005-00319 | NC | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Brunswick Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients | |
| Columbus Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Cabell Huntington Hospital Inc | Emergency Medicine | Current | Accepting new patients |
| Cabell Huntington Hospital Inc | Current | Accepting new patients | |
| Emergency Medicine Physicians of Ohio County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Iredell County, PLLC | Emergency Medicine | Past | Accepting new patients |
| Pender Memorial Hospital, Incorporated | Past | Accepting new patients | |
| Emergency Medicine Physicians of Lenoir County PLLC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Physicians of Mecklenburg County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776
1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960
Interoperability endpoints
- allen.holmes@direct.chhi.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
-
- Emergency Medicine Physician
- Whiteville, NC
- NPI 1588813786
-
dba Cabell Huntington Hospital Anesthesia
- Anesthesiology Physician
- Huntington, WV
- NPI 1275576373
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1659456234
Emergency Medicine
-
- Home Health Agency
- Huntington, WV
- NPI 1669558904
-
- Emergency Medicine Physician
- Statesville, NC
- NPI 1104151109
-
- Emergency Medicine Physician
- Kinston, NC
- NPI 1518906478
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1912232182
-
dba Novant Health Pender Medical Center
- Critical Access Hospital
- Burgaw, NC
- NPI 1295703130
-
- Emergency Medicine Physician
- Wheeling, WV
- NPI 1093754954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1952441842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 RACINE DR STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284038745",
"telephone_number": "910-399-6661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 RACINE DR STE 102",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284038745",
"telephone_number": "910-399-6661"
}
],
"practiceLocations": [
{
"address_1": "1340 Hal Greer Blvd",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257013804",
"country_code": "US",
"telephone_number": "304-526-2200",
"fax_number": "304-399-1507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-667-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "ALLEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WV",
"license": "22253",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "200500319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2795855",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01165075",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100040000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900923",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952441842",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE-RR PROVIDER NUMBER",
"identifier": "P00387855",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "1952441842",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "allen.holmes@direct.chhi.org",
"affiliation": "N",
"address_1": "1340 Hal Greer Blvd",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257013804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.