NPIMap

Individual provider Active NPI

Krista Marie Prigg Kozacki, M.D.

  • Family Medicine Physician
  • Florence, SC
National Provider Identifier
1265482913
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16436 Issued in SC
Practice address
3380 Pine Needles Rd
Florence, SC 29501-7908
Phone
(843) 432-2952
Fax
(843) 799-1959
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16436 SC Primary

Addresses

Primary practice location

3380 Pine Needles Rd
Florence, SC 29501-7908

Mailing address

360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414

Other identifiers 1

IdentifierTypeStateIssuer
L13607MedicaidSC

Other names 1

  • Dr. Krista Marie Kozacki Professional name

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
I20040220000433 SC Practitioner - Family PracticePractitioner - Internal Medicine 9234024910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York at Buffalo School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

2501 S Vance Dr
Suite a
Florence, SC 29505-6163
Phone (843) 679-4019

701 Medical Park Dr
Suite 207
Hartsville, SC 29550-4778
Phone (843) 332-6645

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hopehealth Inc CurrentSince Sep 22, 2011 Accepting new patients
Musc Community Physicians Family Medicine CurrentSince Sep 11, 2023 Accepting new patients
Musc Community Physicians CurrentSince Sep 11, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Hopehealth Inc CurrentSince Sep 22, 2011 Accepting new patients
McLeod Physician Associates, Inc Family Medicine Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390

360 N Irby St
Florence, SC 29501
Phone (843) 656-0353

805 Pamplico Hwy
#315
Florence, SC 29505
Phone (843) 664-0399

2501 S Vance Dr
#A
Florence, SC 29505
Phone (843) 674-1657

1925 Hoffmeyer Rd
Florence, SC 29501
Phone (843) 661-4390

805 Pamplico Hwy
Ste 300
Florence, SC 29505
Phone (843) 679-2760

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1265482913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N IRBY ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295012808",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3380 PINE NEEDLES RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017908",
            "telephone_number": "843-432-2952",
            "fax_number": "843-799-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZACKI",
        "first_name": "KRISTA",
        "middle_name": "MARIE PRIGG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "16436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "L13607",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "KOZACKI",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.