HEALISTIC WOUND CARE MANAGEMENT GROUP
NPI 1205625985
Nurse Practitioner - Family in Florence, SC

Active since May 01, 2025
2724 W PALMETTO ST STE 12, FLORENCE, SC 29501(843) 992-2754 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Healistic Wound Care Management Group NPPES

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

HEALISTIC WOUND CARE MANAGEMENT GROUP (NPI 1205625985) is a healthcare organization registered as a family in Florence, South Carolina and active in the NPI registry since May 2025. The organization lists Hillery Dolford, Owner, as its authorized official.

NPPES Registry Identity

NPI1205625985
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHEALISTIC WOUND CARE MANAGEMENT GROUP
Location Address2724 W PALMETTO ST STE 12Florence, SC 29501-4909
Mailing Address2724 W Palmetto St Ste 12Florence, SC 29501-4909 · (843) 992-2754
Organization SubpartNo
Authorized OfficialHillery DolfordOwner · (843) 992-2754
Enumeration DateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1205625985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
2724 W PALMETTO ST STE 12, Florence, SC 29501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healistic Wound Care Management Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healistic Wound Care Management Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1104283548
1053 CENTER STREET SC HOUSE CALLS INC
West Columbia, SC 29169
(800) 491-0909
✔ PECOS✔ Accepts Medicare72 mi

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

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 Healistic Wound Care Management Group's NPI number?

The NPI number for Healistic Wound Care Management Group is 1205625985. It was assigned to this organization in the NPPES registry on May 1, 2025.

Where is Healistic Wound Care Management Group located?

Healistic Wound Care Management Group is located at 2724 W Palmetto St Ste 12, Florence, SC 29501. The listed phone number is (843) 992-2754.

What is Healistic Wound Care Management Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Healistic Wound Care Management Group enrolled in Medicare?

Yes. Healistic Wound Care Management Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healistic Wound Care Management Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Healistic Wound Care Management Group. 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.

When was this NPI record last updated?

The NPPES record for Healistic Wound Care Management Group was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.