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

Active since January 07, 2022CLIA 42D2244473 · Waiver
750 W CAROLINA AVE, HARTSVILLE, SC 29550(843) 951-9990(843) 951-9989 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Compassionate Care Of Hartsville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMPASSIONATE CARE OF HARTSVILLE (NPI 1063173458) is a healthcare organization registered as a clinic/center in Hartsville, South Carolina and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2027 and lists Kelley Marie Moody, Owner, as its authorized official.

NPPES Registry Identity

NPI1063173458
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOMPASSIONATE CARE OF HARTSVILLE
Location Address750 W CAROLINA AVEHartsville, SC 29550-4412
Mailing Address750 W Carolina AveHartsville, SC 29550-4412 · (843) 951-9990 · Fax (843) 951-9989
Phone(843) 951-9990
Fax(843) 951-9989
Organization SubpartNo
Authorized OfficialKelley Marie MoodyOwner · (843) 951-9990
Enumeration DateJanuary 7, 2022
NPPES CertifiedJanuary 7, 2022
✔ NPI 1063173458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
750 W CAROLINA AVE, Hartsville, SC 29550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Compassionate Care Of Hartsville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20220324002001Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Compassionate Care Of Hartsville, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelley Moody, NP-C
Nurse Practitioner
NPI 1194358317
702 W CAROLINA AVE
Hartsville, SC 29550
(843) 951-9990
✔ PECOS✔ Accepts Medicare1.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2244473

Compassionate Care Of Hartsville · Hartsville, SC
Active · expires Dec 1, 2027
CLIA Number42D2244473
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorKelley M. Moody
Laboratory Phone(843) 951-9990
Laboratory LocationCompassionate Care Of Hartsville750 W Carolina Ave, Hartsville, SC 29550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Compassionate Care Of Hartsville's NPI number?

The NPI number for Compassionate Care Of Hartsville is 1063173458. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Compassionate Care Of Hartsville located?

Compassionate Care Of Hartsville is located at 750 W Carolina Ave, Hartsville, SC 29550. The listed phone number is (843) 951-9990.

What is Compassionate Care Of Hartsville's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Compassionate Care Of Hartsville enrolled in Medicare?

Yes. Compassionate Care Of Hartsville is registered in the Medicare PECOS enrollment system.

When is Compassionate Care Of Hartsville's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Compassionate Care Of Hartsville?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Compassionate Care Of Hartsville. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Compassionate Care Of Hartsville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2244473) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Compassionate Care Of Hartsville accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Compassionate Care Of Hartsville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Compassionate Care Of Hartsville was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.