MISS KELLEY MARIE MOODY NP-C
NPI 1194358317
Family Medicine - Adult Medicine in Hartsville, SC

Q: What is Kelley Moody's NPI number?

The NPI number for Kelley Moody is 1194358317. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Q: What is Kelley Moody's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Moody was last updated on February 8, 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.

Active since February 17, 2020PECOS EnrolledAccepts Medicare Assignment

750 W CAROLINA AVE, HARTSVILLE, SC 29550(843) 951-9990(843) 951-9989 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2022, Nov 15, 2021, Feb 17, 2020 (3 updates tracked since 2020).

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About Miss Kelley Marie Moody Np-c NPPES

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

MISS KELLEY MARIE MOODY NP-C (NPI 1194358317) is an individual adult medicine provider in Hartsville, South Carolina, licensed in South Carolina (23682) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194358317

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameMISS KELLEY MARIE MOODYCredential: NP-C

Location Address750 W CAROLINA AVEHartsville, SC 29550-4412

Mailing Address750 W Carolina AveHartsville, SC 29550-4412 · (843) 995-9990 · Fax (843) 951-9989

Phone(843) 951-9990

Fax(843) 951-9989

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 17, 2020

Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1194358317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in SC · 23682

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kelley Marie Moody Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072923879

PECOS Enrollment IDI20201106000369

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services13 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

15 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolina Pines Regional Medical Center

Acute Care Hospitals · Hartsville, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420010

Location1304 W Bobo Newsom HwyHartsville, SC 29550 · Darlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29550 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPASSIONATE CARE OF HARTSVILLE

Clinic/Center

750 W CAROLINA AVE
HARTSVILLE, SC 29550

Darlington County (843) 951-9990

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 Kelley Moody's NPI number?

The NPI number for Kelley Moody is 1194358317. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Kelley Moody located?

Kelley Moody practices at 750 W Carolina Ave, Hartsville, SC 29550. The listed phone number is (843) 951-9990.

What is Kelley Moody's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kelley Moody enrolled in Medicare?

Yes. Kelley Moody is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelley Moody accept?

Health plans from BlueCross BlueShield of South Carolina list Kelley Moody 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.

Is Kelley Moody affiliated with any hospitals?

According to CMS data, Kelley Moody is affiliated with Carolina Pines Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelley Moody was last updated on February 8, 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.