Individual provider Active NPI

Crystal Marie Hayes, APRN

  • Family Nurse Practitioner
  • Loris, SC
National Provider Identifier
1073184396
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26579 Issued in SC
Practice address
3817 Main St
Loris, SC 29569-3017
Phone
(843) 663-8000
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26579 SC Primary
Family Nurse Practitioner 363LF0000X 5020044 NC

Addresses

Primary practice location

3817 Main St
Loris, SC 29569-3017

Mailing address

PO Box 547
Faison, NC 28341-0547
Phone (843) 663-8000

Other names 1

  • Crystal Kolling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221010001460 SC Practitioner - Nurse Practitioner 0648674465 Reassigns benefits to 8 organizations
I20241028000883 NC Practitioner - Nurse Practitioner 0648674465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little River Medical Center IncGroup PAC ID 2961309315, shared by 7 NPIs, 38 clinicians
Healogics Specialty Physicians of South Carolina LLCGroup PAC ID 8325261209, 17 clinicians
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Goshen Medical Center IncorporatedGroup PAC ID 3173434479, 96 clinicians

Practice addresses (Care Compare)

1075 Mr Joe White Ave
Unit 101
Myrtle Beach, SC 29577-5658
Phone 84366380008294

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-8347

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588-7495
Phone (843) 663-8013

3600 Sea Mountain Hwy
Suite C
Little River, SC 29566-8161
Phone (843) 357-3100

3817 Main St
Loris, SC 29569-3017
Phone (843) 663-8000

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579-4220
Phone 84366380008294

4303 Live Oak Dr
Little River, SC 29566-9138
Phone (843) 663-8000

444 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0421

460 SW Ctr St
Faison, NC 28341-8820
Phone (910) 267-0951

7724 N Kings Hwy
Myrtle Beach, SC 29572-3041
Phone (843) 663-8000

Hospital & facility affiliations

  • Conway Medical Center Hospital, Conway, SC, CCN 420049
  • McLeod Loris Hospital Hospital, Loris, SC, CCN 420105
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26579SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little River Medical Center, Inc. Family CurrentSince Feb 4, 2026 Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC Nurse Practitioner CurrentSince May 1, 2025 Accepting new patients
Little River Medical Center, Inc. CurrentSince Feb 4, 2026 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Aug 1, 2024 Accepting new patients
Little River Medical Center Inc Family CurrentSince Feb 4, 2026 Accepting new patients
SC House Calls Inc CurrentSince Sep 12, 2022 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Aug 1, 2024 Accepting new patients
Little River Medical Center, Inc CurrentSince Feb 4, 2026 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince May 1, 2025 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Feb 4, 2026 Accepting new patients
Little River Medical Center, Inc. Family CurrentSince Feb 4, 2026 Accepting new patients
Little River Medical Center, Inc. CurrentSince Feb 4, 2026 Accepting new patients
SC House Calls Inc CurrentSince Sep 12, 2022 Accepting new patients
Goshen Medical Center Incorporated Past Accepting new patients

Locations

213 9th St
Bolton, NC 28423
Phone (910) 212-6918

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

270 N US Highway 701 Byp
Tabor City, NC 28463
Phone (706) 830-0277

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

200 Fleetwood Dr
Easley, SC 29640
Phone (864) 442-7200

4303 Live Oak Dr
Little River, SC 29566
Phone (803) 839-3939

3600 Sea Mountain Hwy
Ste C
Little River, SC 29566
Phone (843) 399-4848

3817 Main St
Loris, SC 29569
Phone (843) 663-8297

3236 Holmestown Rd
Unit E1
Myrtle Beach, SC 29588

7724 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 839-3939

4220 Carolina Exchange Dr
Myrtle Beach, SC 29579
Phone (843) 663-8013

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: ckolling@goshenmedical.cloudcraftdirect.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1073184396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283410547",
            "telephone_number": "843-663-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 MAIN ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295693017",
            "telephone_number": "843-663-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26579",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020044",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "KOLLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loris, SC

Sources for this page

Verify at the official NPI Registry.