Hometown Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

HOMETOWN URGENT CARE LLC

Practice address

305 West Bobo Newsom Highway
Hartsville, SC 29550

Phone

(843) 309-3028

Fax

(843) 309-3029

NPI assigned

Mar 16, 2013

Organization subpart

No

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

Authorized official

Name

Tracie Mixon Woodward, NPNPI 1568701100

Title

Owner

Phone

(843) 437-5456

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Mixon Woodward, NP

  • Urgent Care Clinic/Center
  • Hartsville, SC
  • NPI 1568701100
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1363392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1669714606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WEST BOBO NEWSOM HIGHWAY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-309-3028",
            "fax_number": "843-309-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WEST BOBO NEWSOM HIGHWAY",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-309-3028",
            "fax_number": "843-309-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-16",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "MIXON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-437-5456",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "SC",
            "license": "18982",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "17346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Ray Hilton, DDS
• Teaira Shanelle Hines
• Mary Hinson, PHARMD
• Erin Elizabeth Hogue, RD, CSR, LD
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• Heather Honeycutt, PHARMD
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• Tiffany Howle

• Urgent Care Clinic/Center in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.