Individual provider Active NPI

Allen J Holmes, MD

  • Emergency Medicine Physician
  • Wilmington, NC
National Provider Identifier
1952441842
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200500319 Issued in NC
Practice address
265 Racine Dr Ste 102
Wilmington, NC 28403-8745
Phone
(910) 399-6661
NPI assigned
Feb 8, 2007
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2795855MedicaidOH
P01165075OtherNCRAILROAD MEDICARE
7100040000MedicaidKY
5900923MedicaidNC
1952441842MedicaidWV
P00387855OtherWVMEDICARE-RR PROVIDER NUMBER
1952441842OtherNCCHAMPUS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allen.holmes@direct.chhi.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV2 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
I20050629000139 NC Practitioner - Emergency Medicine 2264478445 Reassigns benefits to 2 organizations
I20070607000189 WV Practitioner - Emergency Medicine 2264478445 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500319NCMDEmergency Medicine Physician
2005-00319NCMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cabell Huntington Hospital Inc Current Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince May 15, 2019 Accepting new patients
J. Arthur Dosher Memorial Hospital Current Accepting new patients
Columbus Emergency Group LLC Emergency Medicine CurrentSince Jul 15, 2013 Accepting new patients
Cabell Huntington Hospital Inc Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Cabell Huntington Hospital Inc CurrentSince Oct 1, 2019 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

  • Direct secure messaging: allen.holmes@direct.chhi.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.