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APP OF SOUTH CAROLINA ED PLLC
NPI 1457878084
Emergency Medicine in Hartsville, SC

Active since August 24, 2017
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550(843) 339-2100 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2023, Aug 24, 2017 (2 updates tracked since 2017).

About App Of South Carolina Ed Pllc NPPES

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

APP OF SOUTH CAROLINA ED PLLC (NPI 1457878084) is a healthcare organization registered as an emergency medicine in Hartsville, South Carolina and active in the NPI registry since August 2017. The organization lists James Grimes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457878084
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameAPP OF SOUTH CAROLINA ED PLLC
Location Address1304 W BOBO NEWSOM HWYHartsville, SC 29550-4710
Mailing Address5121 Maryland Way Ste 300Brentwood, TN 37027-7516 · (855) 246-8607 · Fax (615) 982-6723
Phone(843) 339-2100
Organization SubpartNo
Authorized OfficialJames GrimesCfo · (855) 246-8607
Enumeration DateAugust 24, 2017
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1457878084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1304 W BOBO NEWSOM HWY, Hartsville, SC 29550
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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)

App Of South Carolina Ed Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

158

Medicare enrollment records show 158 clinicians reassign Medicare billing to App Of South Carolina Ed PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Emergency Medicine87
Nurse Practitioner47
Family Practice11
Internal Medicine7
General Practice2
Hospitalist2
Nephrology1
Pediatric Medicine1

Nearest to this location (20)

See all 158
Rudolf Jokl, MD
Emergency Medicine
NPI 1417065467
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
(770) 874-5400
✔ PECOS✔ Accepts MedicareSame address
Anita Crawford, NP
Nurse Practitioner
NPI 1255720553
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
(843) 339-4600
✔ PECOS✔ Accepts MedicareSame address
Hallie King, FNP
Nurse Practitioner
NPI 1417411158
700 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-3742
✔ PECOS✔ Accepts Medicare0.2 mi
Morgan Evans, NP
Nurse Practitioner
NPI 1184053779
401 E CHEVES ST SUITE 202
Florence, SC 29506
(843) 777-7863
✔ PECOS22 mi
Anthony Bostick, MD
Emergency Medicine
NPI 1477517977
555 E CHEVES ST
Florence, SC 29506
(843) 777-5802
✔ PECOS22 mi
Kim James
Nurse Practitioner
NPI 1295256337
1523 HERITAGE LN UNIT B
Florence, SC 29505
(843) 673-0900
✔ PECOS✔ Accepts Medicare23 mi
William Cauthen, MD
Emergency Medicine
NPI 1174507578
805 PAMPLICO HWY
Florence, SC 29505
(843) 674-5143
✔ PECOS✔ Accepts Medicare24 mi
Kristin Dubose, FNP
Nurse Practitioner
NPI 1154853794
805 PAMPLICO HWY
Florence, SC 29505
(843) 674-5100
✔ PECOS✔ Accepts Medicare24 mi
Steven Halus, M.D.
Emergency Medicine
NPI 1083610976
805 PAMPLICO HWY
Florence, SC 29505
(843) 674-5143
✔ PECOS✔ Accepts Medicare24 mi
Kathy Horne Burgess
Nurse Practitioner
NPI 1043698848
805 PAMPLICO HWY
Florence, SC 29505
(843) 674-2500
✔ PECOS✔ Accepts Medicare24 mi
Bradley Russell, MD
Emergency Medicine
NPI 1528043759
805 PAMPLICO HWY
Florence, SC 29505
(843) 674-5143
✔ PECOS✔ Accepts Medicare24 mi
Gary Summerfield, APRN
Nurse Practitioner
NPI 1588967533
805 PAMPLICO HWY
Florence, SC 29505
(843) 264-2500
✔ PECOS✔ Accepts Medicare24 mi
Christopher Davis, MD
Family Practice
NPI 1053316943
34 FOUNDRY HILL RD
Cheraw, SC 29520
(877) 848-1463
✔ PECOS✔ Accepts Medicare26 mi
Narendra Patel, MD
Emergency Medicine
NPI 1750369518
1315 ROBERTS ST KERSHAW COUNTY MEDICAL CENTER
Camden, SC 29020
(803) 432-4311
✔ PECOS✔ Accepts Medicare29 mi
Robert Razick, MD
Emergency Medicine
NPI 1619498920
1315 ROBERTS ST
Camden, SC 29020
(803) 432-4311
✔ PECOS✔ Accepts Medicare29 mi
Carlon Jenkins, NP
Nurse Practitioner
NPI 1255983854
126 WILLIAMSBURG AVE
Lake City, SC 29560
(843) 687-9660
✔ PECOS✔ Accepts Medicare39 mi
Avinash Juneja, MD
Internal Medicine
NPI 1891954889
800 W MEETING ST
Lancaster, SC 29720
(803) 313-3234
✔ PECOS✔ Accepts Medicare46 mi
Anil Chhabra, MD
Pediatric Medicine
NPI 1417185125
14714 JOCKEYS RIDGE DR
Charlotte, NC 28277
(832) 860-5164
✔ PECOS64 mi
Daniel Crow, M.D.
General Practice
NPI 1033141247
1 MEDICAL PARK DR
Chester, SC 29706
(803) 581-3151
✔ PECOS✔ Accepts Medicare66 mi
Sylvester Ogbata, M.D.
Nephrology
NPI 1346209707
1400 MEDFORD DR
Charlotte, NC 28205
(704) 940-5588
✔ PECOS✔ Accepts Medicare71 mi
See all 158 clinicians

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 App Of South Carolina Ed PLLC's NPI number?

The NPI number for App Of South Carolina Ed PLLC is 1457878084. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is App Of South Carolina Ed PLLC located?

App Of South Carolina Ed PLLC is located at 1304 W Bobo Newsom Hwy, Hartsville, SC 29550. The listed phone number is (843) 339-2100.

What is App Of South Carolina Ed PLLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is App Of South Carolina Ed PLLC enrolled in Medicare?

Yes. App Of South Carolina Ed PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through App Of South Carolina Ed PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 158 clinicians in 8 Medicare specialties reassign their Medicare billing to App Of South Carolina Ed PLLC. 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. The largest specialties are Emergency Medicine (87), Nurse Practitioner (47) and Family Practice (11). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for App Of South Carolina Ed PLLC was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.