Mark A Stellingworth, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

36377 Issued in SC

Practice address

701 Medical Park Dr Ste 301
Hartsville, SC 29550-4779

Phone

(843) 383-5978

Fax

(843) 383-5977

NPI assigned

Sep 4, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
• McLeod Health Cheraw Hospital, Cheraw, SC, CCN 420107

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0915.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://api.platform.athenahealth.com/11770/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/82b5c78e-3511-4091-8bf4-9b7dbe078f0c/
• Direct secure messaging: mstellingworth289173@direct.ghs.myhfn.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment Care Compare group NPD
• Hartsville Medical Group LLC

  • Internal Medicine Physician
  • Hartsville, SC
  • NPI 1598995300
  Medicare reassignment Care Compare group
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Medicare reassignment NPD
• Prisma Health Medical Group-Midlands

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, SC
  • NPI 1417442864
  NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154373843
  NPD
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Sumter, SC
  • NPI 1326043548
  NPD
• Prisma Health Medical Group-Midlands

  • Interventional Cardiology Physician
  • Columbia, SC
  • NPI 1003307166

  Cardiovascular Disease

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hartsville, LLC

  • General Acute Care Hospital
  • Hartsville, SC
  • NPI 1174500458
  Care Compare affiliation
• McLeod Health Cheraw

  • General Acute Care Hospital
  • Cheraw, SC
  • NPI 1902283740
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1184197683
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1003000936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 MEDICAL PARK DR STE 301",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504779",
            "telephone_number": "843-383-5978",
            "fax_number": "843-383-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Richland Medical Park Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038005",
            "country_code": "US",
            "telephone_number": "803-434-3800",
            "fax_number": "803-744-2759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLINGWORTH",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "SC",
            "license": "36377",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "024969",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "36377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "TL36377",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "024969",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363779",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstellingworth289173@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mstellingworth289173@direct.ghs.myhfn.org",
            "address_1": "701 Medical Park Dr Ste 301",
            "city": "Hartsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295504779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• South Carolina Heart Center PA
• Southern Comfort Health and Wellness, LLC
• Nicole Christine Spencer
• Kevin Sponseller, MD
• Starting Point of Darlington, LLC
• Sarah Deas Stephens
• Zasha Stiglitz, PHARMD
• Crystal Stokes, RPH
• Brittany Stone, M.S., ATC, SCAT
• Suzanne B. Storch, M.D.

• Cardiovascular Disease Physician in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Cardiovascular Disease Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.