Individual provider Active NPI

Laurence Sidney Holman, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1972828457
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006588 Issued in NC
Practice address
10880 Durant Rd Ste 324
Raleigh, NC 27614-6629
Phone
(919) 787-7246
Fax
(919) 787-7247
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 5006588 NC
Family Nurse Practitioner 363LF0000X 5006588 NC Primary
Family Nurse Practitioner 363LF0000X 71003291A IN
Family Nurse Practitioner 363LF0000X F1109060 IN
Primary Care Nurse Practitioner 363LP2300X 5006588 NC

Addresses

Primary practice location

10880 Durant Rd Ste 324
Raleigh, NC 27614-6629

Mailing address

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other practice location 1

1110 SE Cary Pkwy Ste 103
Cary, NC 27518-7420
Phone (919) 297-0000

Other practice location 2

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other identifiers 1

IdentifierTypeStateIssuer
201189380MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lholman1254815@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140808001683 NC Practitioner - Nurse Practitioner 6406021617 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Group Practices II LLCGroup PAC ID 2466865944, 60 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

101 Lattner CT
Morrisville, NC 27560-9584

1110 SE Cary Pkwy
Suite 208
Cary, NC 27518-7435
Phone (919) 573-4828

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006588NCMDPain Medicine Physician
71003291AINMDFamily Nurse Practitioner
F1109060INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Group Practices II, LLC CurrentSince Apr 10, 2025 Accepting new patients
Wake Spine and Pain Specialists, PC CurrentSince Jan 2, 2017 Accepting new patients
Wake Spine & Pain Specialists PC CurrentSince Jan 2, 2017 Accepting new patients

Locations

1110 SE Cary Pkwy
Ste 103
Cary, NC 27518
Phone (919) 297-0000

851 S Main St
Holly Springs, NC 27540
Phone (919) 346-8651

101 Lattner Ct
Ste 300
Morrisville, NC 27560
Phone (919) 238-2400

101 Lattner Ct
Ste 200
Morrisville, NC 27560
Phone (919) 238-2400

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

10880 Durant Rd
Ste 324
Raleigh, NC 27614
Phone (919) 645-0116

3635 Rogers Rd
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: lholman1254815@direct.unc.nchie.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1972828457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD",
            "address_2": "STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10880 DURANT RD STE 324",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146629",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 SE Cary Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187420",
            "country_code": "US",
            "telephone_number": "919-297-0000",
            "fax_number": "919-232-5328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Wake Forest Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096864",
            "country_code": "US",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "LAURENCE",
        "middle_name": "SIDNEY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "5006588",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006588",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003291A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F1109060",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5006588",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201189380",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lholman1254815@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1110 SE Cary Pkwy Ste 103",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.