NPIMap

Individual provider Active NPI

Kristina P Hursey, MD

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1124070768
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31369 Issued in SC
Practice address
21 Gateway Corners Park
Suite 101
Columbia, SC 29203-8906
Phone
(803) 865-2122
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M0762 TX
Internal Medicine Physician 207R00000X 31369 SC Primary

Addresses

Primary practice location

21 Gateway Corners Park
Suite 101
Columbia, SC 29203-8906

Mailing address

PO Box 896239
Charlotte, NC 28289-6239
Phone (803) 865-2122

Other identifiers 2

IdentifierTypeStateIssuer
P00382491OtherRAILROAD MEDICARE PTAN
M0762OtherTXSTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091001000750 SC Practitioner - Internal Medicine 9638109903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical University of South Carolina College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Summit Centre Cir
Columbia, SC 29229-7758
Phone (803) 233-1338

Hospital & facility affiliations

  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Musc Health Columbia Medical Center Downtown Hospital, Columbia, SC, CCN 420026
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31369SCMDInternal Medicine Physician
M0762TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Internal Medicine LLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients

Locations

105 Summit Centre Cir
Columbia, SC 29229
Phone (803) 233-1338

Interoperability endpoints

  • Direct secure messaging: sandhillsinternalmedicine.kristinahursey@137150.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124070768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896239",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896239",
            "telephone_number": "803-865-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GATEWAY CORNERS PARK",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038906",
            "telephone_number": "803-865-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURSEY",
        "first_name": "KRISTINA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M0762",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "31369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00382491",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "M0762",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.