Individual provider Active NPI

Tiarra Monte Hardin, APRN

  • Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1790418168
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25859 Issued in SC
Practice address
SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone
(800) 491-0909
NPI assigned
Jul 5, 2022
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25859 SC Primary
Family Nurse Practitioner 363LF0000X 5016439 NC

Addresses

Primary practice location

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203

Mailing address

SC House Calls Inc
111 Doctors Circle
Columbia, SC 29203
Phone (800) 491-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220819000727 NC Practitioner - Nurse Practitioner 5799168001 Reassigns benefits to 1 organization
I20230627000081 SC Practitioner - Nurse Practitioner 5799168001 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25859SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Wellness Center Inc. CurrentSince Jul 1, 2022 Accepting new patients
SC House Calls Inc CurrentSince May 25, 2023 Accepting new patients
SC House Calls Inc CurrentSince May 25, 2023 Accepting new patients

Locations

3180 North Point Pkwy
Ste 302
Alpharetta, GA 30005
Phone (678) 224-8686

2900 E Franklin Blvd
Gastonia, NC 28056

11025 Carolina Place Pkwy
Pineville, NC 28134
Phone (704) 341-7800

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1790418168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC",
            "address_2": "111 DOCTORS CIRCLE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "TIARRA",
        "middle_name": "MONTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "25859",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.