MISS KELLEY MARIE MOODY NP-C
NPI 1194358317
Nurse Practitioner - Family in Hartsville, SC
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 family 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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelley Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, SCPhysician 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.
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 702 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 Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organization bills Medicare for Kelley Moody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Moody reassigns Medicare benefits to Compassionate Care Of Hartsville (Hartsville, SC). The 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 Kelley Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelley Moody accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare 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 October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Miss Kelley Marie Moody, NP-C · NPI 1194358317
Family physician in Hartsville, South Carolina. Individual provider, active in the CMS NPPES registry since February 17, 2020.
## Identity
- **NPI:** 1194358317 (Entity type: Individual)
- **Enumerated:** February 17, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 23682 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 702 W CAROLINA AVE, Hartsville, SC 29550-4412
- **Phone:** (843) 951-9990 · **Fax:** (843) 951-9989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Compassionate Care Of Hartsville (NPI 1063173458, Hartsville, SC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194358317) · Data from the CMS NPPES public registry.