Organization Active NPI

Tentwelve Healthcare LLC

  • Primary Care Clinic/Center
  • Graniteville, SC
National Provider Identifier
1386558146
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TENTWELVE HEALTHCARE LLC
Practice address
3286 Carmine Ave
Graniteville, SC 29829-3268
Phone
(252) 525-9904
NPI assigned
Sep 29, 2026
Last updated
Sep 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Authorized official

Name
Mrs. Krystal Mosley
Title
Managing Director
Phone
(252) 525-9904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

3286 Carmine Ave
Graniteville, SC 29829-3268

Mailing address

3286 Carmine Ave
Graniteville, SC 29829-3268
Phone (252) 525-9904

NPI Registry JSON

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790640000000",
    "number": "1386558146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3286 CARMINE AVE",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298293268",
            "telephone_number": "252-525-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3286 CARMINE AVE",
            "city": "GRANITEVILLE",
            "state": "SC",
            "postal_code": "298293268",
            "telephone_number": "252-525-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENTWELVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "252-525-9904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graniteville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.