COMPASSIONATE CARE OF HARTSVILLE
NPI 1063173458
Clinic/Center in Hartsville, SC

NPI Status: Active since January 07, 2022

Contact Information

750 W CAROLINA AVE
HARTSVILLE, SC
ZIP 29550
Phone: (843) 951-9990
Fax: (843) 951-9989

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 42D2244473
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-01-2027

About COMPASSIONATE CARE OF HARTSVILLE

This page provides the complete NPI Profile along with additional information for Compassionate Care Of Hartsville, a provider established in Hartsville, South Carolina operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063173458 assigned on January 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kelley Marie Moody Np-c (Owner)

NPI
1063173458
Provider Name
COMPASSIONATE CARE OF HARTSVILLE
Entity Type
Organization
Location Address
750 W CAROLINA AVE HARTSVILLE, SC 29550
Location Phone
(843) 951-9990
Location Fax
(843) 951-9989
Mailing Address
750 W CAROLINA AVE HARTSVILLE, SC 29550
Mailing Phone
(843) 951-9990
Mailing Fax
(843) 951-9989
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-07-2022
Last Update Date
01-07-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Bronze 1 - POS
  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Expanded Bronze - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 40 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLEY MARIE MOODY NP-C

Authorized Official Title
OWNER
Authorized Official Phone
(843) 951-9990

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D2244473
Facility Type
Physician Office
Certificate Effective Date
December 02, 2025
Certificate Expiration Date
December 01, 2027
Laboratory Director
KELLEY M. MOODY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Compassionate Care Of Hartsville to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063173458, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 2 + 7 + 6 + 4 + 1 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1063173458.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine (Adult Medicine)
750 W CAROLINA AVE
HARTSVILLE, SC 29550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063173458, enumerated as an "organization" on January 07, 2022.

The provider is located at 750 W CAROLINA AVE HARTSVILLE, SC 29550 and the phone number is (843) 951-9990.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.