Individual provider Active NPI

Khalilah Hobbs

  • Licensed Practical Nurse
  • Fort Mill, SC
National Provider Identifier
1477414456
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
084019 Issued in NC
Practice address
885 Gold Hill Rd # 3093
Fort Mill, SC 29708-7946
Phone
(336) 897-8902
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 084019 NC Primary

Addresses

Primary practice location

885 Gold Hill Rd # 3093
Fort Mill, SC 29708-7946

Mailing address

885 Gold Hill Rd # 3093
Fort Mill, SC 29708-7946
Phone (336) 897-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
084019NCMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Addinurse LLC Current Accepting new patients

Locations

885 Gold Hill Rd
Fort Mill, SC 29708
Phone (803) 752-0106

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.

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1477414456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 GOLD HILL RD # 3093",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087946",
            "telephone_number": "336-897-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 GOLD HILL RD # 3093",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087946",
            "telephone_number": "336-897-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "KHALILAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "084019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.