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MRS. TONNIE CROWLEY SPIVEY APRN
NPI 1427555622
Nurse Practitioner - Family in Cheraw, SC

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
132 PEACHTREE DR, CHERAW, SC 29520(843) 910-0595 Get Directions Write a Review

NPPES record last updated: April 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Tonnie Crowley Spivey Aprn NPPES

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

MRS. TONNIE CROWLEY SPIVEY APRN (NPI 1427555622) is an individual family provider in Cheraw, South Carolina, licensed in South Carolina (F04180156) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427555622
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TONNIE CROWLEY SPIVEYCredential: APRN
Location Address132 PEACHTREE DRCheraw, SC 29520-5810
Mailing Address132 Peachtree DrCheraw, SC 29520-5810 · (843) 910-0595
Phone(843) 910-0595
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2018
✔ NPI 1427555622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · F04180156
132 PEACHTREE DR, Cheraw, SC 29520
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Mrs. Tonnie Crowley Spivey Aprn 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 ID2567712706
PECOS Enrollment IDI20180910000002
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tonnie Spivey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hartsville Medical Group LLC
24 mi
Internal Medicine
701 MEDICAL PARK DR
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 116 clinicians in this Medicare group
NPI 1598995300 (843) 383-5191
Lowcountry Urgent Care LLC
160 mi
Primary Care
182C SEA ISLAND PKWY
Beaufort, SC 29907
  • Reassigned Medicare billing, South Carolina enrollment
  • 200 clinicians in this Medicare group
NPI 1326364100 (843) 322-1933

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 7

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
331 services254 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
208 services24 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
124 services114 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
80 services76 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services36 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
42 services30 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 29520 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%337 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%25 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
54%131 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%131 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%131 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%131 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Tonnie Spivey's NPI number?

The NPI number for Tonnie Spivey is 1427555622. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Where is Tonnie Spivey located?

Tonnie Spivey practices at 132 Peachtree Dr, Cheraw, SC 29520. The listed phone number is (843) 910-0595.

What is Tonnie Spivey's specialty?

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

Is Tonnie Spivey enrolled in Medicare?

Yes. Tonnie Spivey 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 organizations bill Medicare for Tonnie Spivey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonnie Spivey reassigns Medicare benefits to 2 organizations: Hartsville Medical Group LLC (Hartsville, SC) and Lowcountry Urgent Care LLC (Beaufort, SC). Each 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 Tonnie Spivey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonnie Spivey accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Tonnie Spivey 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 Tonnie Spivey affiliated with any hospitals?

According to CMS data, Tonnie Spivey is affiliated with Carolina Pines Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tonnie Spivey was last updated on April 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.