CODY LEE KIDD DO
NPI 1508516873
Family Medicine in Cheraw, SC
About Cody Lee Kidd Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY LEE KIDD DO (NPI 1508516873) is an individual family medicine provider in Cheraw, South Carolina, licensed in South Carolina (87607) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Carolina Pines Regional Medical Center, and is a graduate of Lincoln Memorial University Medical Department (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Cody Lee Kidd Do 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 Reassignments
2Medicare enrollment records show Cody Kidd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 116 clinicians in this Medicare group
Darlington, SC 29532
- Reassigned Medicare billing, South Carolina enrollment
- 878 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
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, SCMcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCMusc Health Florence Medical Center
Acute Care Hospitals · Florence, SCPhysician 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cody Kidd's NPI number?
The NPI number for Cody Kidd is 1508516873. It was assigned to this individual provider in the NPPES registry on March 28, 2022.
Where is Cody Kidd located?
Cody Kidd practices at 710 Chesterfield Hwy, Cheraw, SC 29520. The listed phone number is (843) 537-2171.
What is Cody Kidd's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cody Kidd enrolled in Medicare?
Yes. Cody Kidd 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 Cody Kidd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Kidd reassigns Medicare benefits to 2 organizations: Hartsville Medical Group LLC (Hartsville, SC) and Mcleod Physician Associates II (Darlington, 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 Cody Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Kidd accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Cody Kidd 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 Cody Kidd affiliated with any hospitals?
According to CMS data, Cody Kidd is affiliated with Carolina Pines Regional Medical Center, Mcleod Regional Medical Center-Pee Dee and Musc Health Florence Medical Center.
When was this NPI record last updated?
The NPPES record for Cody Kidd was last updated on September 20, 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.
# Cody Lee Kidd, DO · NPI 1508516873
Family Medicine physician in Cheraw, South Carolina. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1508516873 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 87607 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 CHESTERFIELD HWY, Cheraw, SC 29520-7001
- **Phone:** (843) 537-2171
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hartsville Medical Group LLC (NPI 1598995300, Hartsville, SC); Mcleod Physician Associates II (NPI 1629189766, Darlington, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2022
## Record status
- **NPPES last updated:** September 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508516873) · Data from the CMS NPPES public registry.