Individual provider Active NPI

Kristal Smith Pitts

  • Nurse Practitioner
  • Clinton, SC
National Provider Identifier
1023583606
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22300 Issued in SC
Practice address
1304 Springdale Dr
Clinton, SC 29325-7226
Phone
(864) 833-6287
NPI assigned
Oct 10, 2018
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22300 SC Primary

Addresses

Primary practice location

1304 Springdale Dr
Clinton, SC 29325-7226

Mailing address

1130 Old Shoals Junction Rd
Donalds, SC 29638-9648
Phone (864) 344-5495

Other practice location 1

421 Epting Ave
Greenwood, SC 29646-4041
Phone (864) 227-6818

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211001351 SC Practitioner - Nurse Practitioner 8921342411 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of South Carolina, LLC CurrentSince Apr 24, 2024 Accepting new patients
Hospice of Laurens County Inc CurrentSince May 24, 2020 Accepting new patients
NHC Healthcare-Greenwood LLC CurrentSince Sep 5, 2022 Accepting new patients
Providence House Calls LLC Nurse Practitioner CurrentSince Oct 1, 2020 Accepting new patients
Hospice Care of South Carolina, LLC Past Accepting new patients

Locations

1304 Springdale Dr
Clinton, SC 29325
Phone (864) 833-6287

136 Stonemark Ln
Ste 100
Columbia, SC 29210
Phone (803) 603-4821

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

437 Cambridge Ave E
Greenwood, SC 29646
Phone (864) 223-1950

500 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 818-6900

634 Fairview Rd
Simpsonville, SC 29680
Phone (843) 851-3126

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone 803239777800000

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1023583606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 OLD SHOALS JUNCTION RD",
            "city": "DONALDS",
            "state": "SC",
            "postal_code": "296389648",
            "telephone_number": "864-344-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 SPRINGDALE DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257226",
            "telephone_number": "864-833-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Epting Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296464041",
            "country_code": "US",
            "telephone_number": "864-227-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTS",
        "first_name": "KRISTAL",
        "middle_name": "SMITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "22300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, SC

Sources for this page

Verify at the official NPI Registry.