Individual provider Active NPI

Hallie King, FNP

  • Family Nurse Practitioner
  • Hartsville, SC
National Provider Identifier
1417411158
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22565 Issued in SC
Practice address
700 Medical Park Dr
Hartsville, SC 29550-4765
Phone
(843) 383-3742
NPI assigned
Jan 28, 2019
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22565 SC Primary

Addresses

Primary practice location

700 Medical Park Dr
Hartsville, SC 29550-4765

Mailing address

509 Magna Carta Rd
Florence, SC 29501-8705
Phone (843) 615-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190404001038 SC Practitioner - Nurse Practitioner 6204177025 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Family Medicine and Senior Care LLCGroup PAC ID 2961589817, 3 clinicians
Hartsville Medical Group LLCGroup PAC ID 7012062714, 78 clinicians

Practice addresses (Care Compare)

420 W Carolina Ave
Hartsville, SC 29550-4524
Phone (843) 669-5162

700 Medical Park Dr
Hartsville, SC 29550-4765
Phone (843) 383-3742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22565SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Family Medicine and Senior Care, LLC CurrentSince Jan 2, 2025 Accepting new patients
Black Creek Medical Consultants, LLC CurrentSince Apr 1, 2020 Accepting new patients
App of South Carolina Ed PLLC CurrentSince Nov 17, 2022 Accepting new patients
Hartsville Medical Group LLC CurrentSince Sep 15, 2023 Accepting new patients

Locations

110 Doctors Dr
#A
Cheraw, SC 29520
Phone (843) 383-5312

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

149 E Carolina Ave
Hartsville, SC 29550
Phone (843) 383-5312

420 W Carolina Ave
Hartsville, SC 29550
Phone (843) 917-4977

700 Medical Park Dr
Hartsville, SC 29550
Phone (843) 383-3742

Interoperability endpoints

  • Direct secure messaging: hallie.harvin.1@8689.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 1

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": "1548633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1417411158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MAGNA CARTA RD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295018705",
            "telephone_number": "843-615-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL PARK DR",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504765",
            "telephone_number": "843-383-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HALLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

Verify at the official NPI Registry.