BLACK CREEK MEDICAL CONSULTANTS, LLC
NPI 1245623792
Otolaryngology - Sleep Medicine in Hartsville, SC
About Black Creek Medical Consultants, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK CREEK MEDICAL CONSULTANTS, LLC (NPI 1245623792) is a healthcare organization registered as a sleep medicine in Hartsville, South Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Orville H Dyce, Surgeon, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Creek Medical Consultants, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Black Creek Medical Consultants, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 42D2347430
Black Creek Medical Consultants · Hartsville, SCFrequently 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 Black Creek Medical Consultants, LLC's NPI number?
The NPI number for Black Creek Medical Consultants, LLC is 1245623792. It was assigned to this organization in the NPPES registry on March 9, 2015.
Where is Black Creek Medical Consultants, LLC located?
Black Creek Medical Consultants, LLC is located at 149 E Carolina Ave, Hartsville, SC 29550. The listed phone number is (843) 383-5312.
What is Black Creek Medical Consultants, LLC's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.
Is Black Creek Medical Consultants, LLC enrolled in Medicare?
Yes. Black Creek Medical Consultants, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Creek Medical Consultants, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Black Creek Medical Consultants, LLC, in Nurse Practitioner, Obstetrics/Gynecology and Otolaryngology. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Black Creek Medical Consultants, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 42D2347430) is associated with this NPI, valid through July 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Black Creek Medical Consultants, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Black Creek Medical Consultants, LLC 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 Black Creek Medical Consultants, LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Black Creek Medical Consultants, Llc · NPI 1245623792
Sleep Medicine organization in Hartsville, South Carolina. Organization record, active in the CMS NPPES registry since March 9, 2015.
## Identity
- **NPI:** 1245623792 (Entity type: Organization)
- **Enumerated:** March 9, 2015
- **Primary specialty:** Otolaryngology - Sleep Medicine · taxonomy 207YS0012X
- **Organization subpart:** No
- **Authorized official:** Orville Dyce, SURGEON
## Practice location
- **Address:** 149 E CAROLINA AVE, Hartsville, SC 29550-4213
- **Phone:** (843) 383-5312 · **Fax:** (843) 383-4516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Obstetrics/Gynecology (1), Otolaryngology (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245623792) · Data from the CMS NPPES public registry.