Individual provider Active NPI

Timothy Caleb Hargrove, D.O.

  • Family Medicine Physician
  • Simpsonville, SC
National Provider Identifier
1255563987
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
37586 Issued in SC
Practice address
300 Scuffletown Rd
Simpsonville, SC 29681-7204
Phone
(864) 329-0029
Fax
(864) 329-8125
NPI assigned
Aug 13, 2009
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2012024847 MO
Family Medicine Physician 207Q00000X R-8701 IA
Family Medicine Physician 207Q00000X 37586 SC Primary

Addresses

Primary practice location

300 Scuffletown Rd
Simpsonville, SC 29681-7204

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other identifiers 1

IdentifierTypeStateIssuer
375865MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address thargrove162167@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160406002250 SC Practitioner - Family Practice 6204023328 Reassigns benefits to 2 organizations
I20231221001169 KY Practitioner - Family Practice 6204023328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Urgent Care Services Southeast PSCGroup PAC ID 0345694766, 18 clinicians

Practice addresses (Care Compare)

1009 N Mulberry St
Elizabethtown, KY 42701-2036
Phone (270) 979-7109

310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-8701IAMDFamily Medicine Physician
2012024847MOMDFamily Medicine Physician
37586SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 3, 2017 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Jan 3, 2017 Accepting new patients
Urgent Care Services Southeast PSC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Jan 16, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 6, 2023 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince Jan 16, 2016 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 6, 2023 Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

1009 N Mulberry St
Elizabethtown, KY 42701
Phone (270) 979-7109

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

648 University Shopping Ctr
Richmond, KY 40475
Phone (859) 623-1950

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

11402 Anderson Rd
Ste A
Greenville, SC 29611
Phone (864) 631-2799

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1305 S Suber Rd
Greer, SC 29650
Phone (864) 989-4609

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

1115 Wren School Rd
Piedmont, SC 29673
Phone (864) 859-0740

300 Scuffletown Rd
Simpsonville, SC 29681
Phone (864) 329-0029

301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246

Interoperability endpoints

  • Direct secure messaging: thargrove162167@direct.ghs.myhfn.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1255563987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SCUFFLETOWN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296817204",
            "telephone_number": "864-329-0029",
            "fax_number": "864-329-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "TIMOTHY",
        "middle_name": "CALEB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012024847",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "37586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375865",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "thargrove162167@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "thargrove162167@direct.ghs.myhfn.org",
            "address_1": "300 Scuffletown Rd",
            "city": "Simpsonville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296817204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.