1. Home
  2. Directory
  3. South Carolina
  4. Hartsville
  5. Internal Medicine
  6. NPI Profile

HARTSVILLE MEDICAL GROUP LLC
NPI 1598995300
Internal Medicine in Hartsville, SC

Active since July 15, 2009CLIA Certified · 4 labs
701 MEDICAL PARK DR, HARTSVILLE, SC 29550(843) 383-5191 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2025, Feb 9, 2023, Oct 15, 2020 and 2 more (5 updates tracked since 2016).

About Hartsville Medical Group Llc NPPES

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

HARTSVILLE MEDICAL GROUP LLC (NPI 1598995300) is a healthcare organization registered as an internal medicine in Hartsville, South Carolina and active in the NPI registry since July 2009. The organization holds 4 active CLIA laboratory certificates and lists Johnetta Traylor, Administrator, as its authorized official.

NPPES Registry Identity

NPI1598995300
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameHARTSVILLE MEDICAL GROUP LLC
Location Address701 MEDICAL PARK DRHartsville, SC 29550-4777
Mailing Address701 Medical Park Dr Ste 305bHartsville, SC 29550-4777 · (843) 383-2764 · Fax (843) 383-6456
Phone(843) 383-5191
Organization SubpartNo
Authorized OfficialJohnetta TraylorAdministrator · (502) 596-6063
Enumeration DateJuly 15, 2009
Last NPPES UpdateJune 19, 20255 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1598995300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
701 MEDICAL PARK DR, Hartsville, SC 29550
Open in Google Maps ↗

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hartsville Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

142

Medicare enrollment records show 142 clinicians reassign Medicare billing to Hartsville Medical Group LLC, which bills Medicare for the services they deliver. Of these, 14 practice at this address and 31 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Diagnostic Radiology57
Nurse Practitioner19
Family Practice12
Internal Medicine12
General Surgery5
Orthopedic Surgery5
Obstetrics/Gynecology4
Urology4
14 other specialties24

Nearest to this location (20)

See all 142
Eric Bonno, MD
Advanced Heart Failure and Transplant Cardiology
NPI 1144457086
701 MEDICAL PARK DR STE 302-303
Hartsville, SC 29550
(843) 383-3634
✔ PECOS✔ Accepts MedicareSame address
Robert Campbell, FNP-BC
Nurse Practitioner
NPI 1023874658
701 MEDICAL PARK DR STE 207
Hartsville, SC 29550
(843) 383-5191
✔ PECOS✔ Accepts MedicareSame address
Raven Delgado, MD
Pediatric Medicine
NPI 1184187825
701 MEDICAL PARK DR STE 207
Hartsville, SC 29550
(843) 383-7350
✔ PECOS✔ Accepts MedicareSame address
Callie Rogers, FNP
Nurse Practitioner
NPI 1518689397
701 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-5191
✔ PECOS✔ Accepts MedicareSame address
Kevin Sponseller, MD
Family Practice
NPI 1851709554
701 MEDICAL PARK DR STE 207
Hartsville, SC 29550
(433) 832-7648
✔ PECOS✔ Accepts MedicareSame address
Mark Stellingworth, MD
Cardiovascular Disease (Cardiology)
NPI 1003000936
701 MEDICAL PARK DR STE 301
Hartsville, SC 29550
(843) 383-5978
✔ PECOS✔ Accepts MedicareSame address
Abraham Areephanthu, MD
Family Practice
NPI 1548235757
701 MEDICAL PARK DR SUITE 302
Hartsville, SC 29550
(843) 383-5191
✔ PECOS✔ Accepts MedicareSame address
Carroll Bannister, MD
General Surgery
NPI 1689692253
701 MEDICAL PARK DR SUITE 101
Hartsville, SC 29550
(843) 339-4295
✔ PECOSSame address
Shari Carter, FNP
Nurse Practitioner
NPI 1457383317
701 MEDICAL PARK DR STE 305
Hartsville, SC 29550
(843) 383-5191
✔ PECOS✔ Accepts MedicareSame address
Samuel Okoh, MD
Nephrology
NPI 1730381252
701 MEDICAL PARK DR SUITE 208
Hartsville, SC 29550
(843) 339-3030
✔ PECOS✔ Accepts MedicareSame address
Montserrat Del Olmo, MD
Family Practice
NPI 1295223568
701 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-2764
✔ PECOS✔ Accepts MedicareSame address
Illiyah Edwards
Nurse Practitioner
NPI 1881573798
701 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-2764
✔ PECOS✔ Accepts MedicareSame address
Krista Kozacki, M.D.
Family Practice
NPI 1265482913
701 MEDICAL PARK DR STE 207
Hartsville, SC 29550
(843) 383-2764
✔ PECOS✔ Accepts MedicareSame address
Ashekia Pinckney, MD
Obstetrics/Gynecology
NPI 1497195903
701 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-2764
✔ PECOS✔ Accepts MedicareSame address
Christine Dillingham, MD
Nephrology
NPI 1992190870
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
(843) 339-2100
✔ PECOS✔ Accepts Medicare0.1 mi
Zsolt Ori, MD
Internal Medicine
NPI 1073533352
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
(843) 878-1101
✔ PECOS✔ Accepts Medicare0.1 mi
Arvind Bali, M.D.
Cardiovascular Disease (Cardiology)
NPI 1053340935
701 MEDICAL PARK DR SUITE 208
Hartsville, SC 29550
(843) 383-5191
✔ PECOS✔ Accepts Medicare0.2 mi
Scott Daniel, M.D.
Obstetrics/Gynecology
NPI 1194757856
701 MEDICAL PARK DR SUITE 202
Hartsville, SC 29550
(843) 339-9222
✔ PECOS✔ Accepts Medicare0.2 mi
Luz Mendez, MD
Family Practice
NPI 1609197623
701 MEDICAL PARK DR STE 207
Hartsville, SC 29550
(843) 383-5171
✔ PECOS✔ Accepts Medicare0.2 mi
Barry Clark, D.O.
Orthopedic Surgery
NPI 1891795985
700 MEDICAL PARK DR
Hartsville, SC 29550
(843) 383-3742
✔ PECOS✔ Accepts Medicare0.2 mi
See all 142 clinicians

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 4

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 42D2013765

Hartsville Medical Group Dba Carolina Pines Medical Group · Hartsville, SC
Active · expires Sep 23, 2028
CLIA Number42D2013765
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2026
Certificate Expiration DateSeptember 23, 2028
Laboratory DirectorDr. Abraham Areephantu
Laboratory Phone(843) 383-5191
Laboratory LocationHartsville Medical Group Dba Carolina Pines Medical Group701 Medical Park Drive, Ste 207, Hartsville, SC 29550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2332442

Hartsville Medical Group LLC Dba Cpmg A O Smith · Mcbee, SC
Active · expires Oct 19, 2027
CLIA Number42D2332442
Laboratory TypeIndustrial
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorElizabeth Newsom
Laboratory Phone(843) 383-2764
Laboratory LocationHartsville Medical Group LLC Dba Cpmg A O Smith25589 Us Route 1, Mcbee, SC 29101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2332445

Hartsville Medical Group LLC Dba Cpmg Mar-Mac · Mcbee, SC
Active · expires Oct 19, 2027
CLIA Number42D2332445
Laboratory TypeIndustrial
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorElizabeth Newsom
Laboratory Phone(843) 383-2764
Laboratory LocationHartsville Medical Group LLC Dba Cpmg Mar-Mac229 Mar-Mac Wire, Mcbee, SC 29101
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2332447

Hartsville Medical Group LLC Dba Cpmg Swift Creek Road · Hartsville, SC
Active · expires Oct 19, 2027
CLIA Number42D2332447
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorElizabeth Newsom
Laboratory Phone(843) 383-2764
Laboratory LocationHartsville Medical Group LLC Dba Cpmg Swift Creek Road206 Swift Creek Road, Hartsville, SC 29550
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hartsville Medical Group LLC's NPI number?

The NPI number for Hartsville Medical Group LLC is 1598995300. It was assigned to this organization in the NPPES registry on July 15, 2009.

Where is Hartsville Medical Group LLC located?

Hartsville Medical Group LLC is located at 701 Medical Park Dr, Hartsville, SC 29550. The listed phone number is (843) 383-5191.

What is Hartsville Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Hartsville Medical Group LLC enrolled in Medicare?

Yes. Hartsville Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hartsville Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 22 Medicare specialties reassign their Medicare billing to Hartsville Medical Group LLC. 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 Diagnostic Radiology (57), Nurse Practitioner (19) and Family Practice (12). Of these, 14 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hartsville Medical Group LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Hartsville Medical Group LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Hartsville Medical Group 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 Hartsville Medical Group LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.