Active NPI
Krista Michelle Poulton, FNP-BC
- Family Nurse Practitioner
- Hartsville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19457
- Practice address
- 1268 S 4TH St
Hartsville, SC 29550-0703 - Phone
- (843) 332-3422
- Fax
- (842) 332-3985
- NPI assigned
- May 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19457 | SC | Primary |
Addresses
Primary practice location
1268 S 4TH St
Hartsville, SC 29550-0703
Mailing address
1104 Windshall Rd
Darlington, SC 29540
Phone (423) 612-5300
Other practice location 1
1010 Highway 17 N
North Myrtle Beach, SC 29582-2806
Phone (866) 389-2727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1268 S 4TH St
Hartsville, SC 29550-0703
Phone (843) 332-3422
204 Perry Wiley Way
Chesterfield, SC 29709-5701
Phone (843) 623-5080
545 Sumter Hwy
Bishopville, SC 29010-7601
Phone (803) 484-5317
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19457 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc. | Current | Accepting new patients | |
| Lowcountry Urgent Care LLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Caresouth Carolina, Inc | Past | Accepting new patients |
Locations
182C Sea Island Pkwy
Beaufort, SC 29907
Phone (843) 322-1933
709 Mill St
Camden, SC 29020
Phone (803) 432-6902
1430 S Cashua Dr
Florence, SC 29501
Phone (843) 665-9349
251 W Palmetto St
Florence, SC 29501
Phone (843) 662-7026
201 S 5th St
Hartsville, SC 29550
1268 S 4th St
Ste A
Hartsville, SC 29550
Phone (843) 332-3422
1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422
2102 Cromley Cir
Ste A
Myrtle Beach, SC 29577
Phone (843) 999-0064
441 N Main St
Sumter, SC 29150
Phone (803) 750-5080
1515 Bells Hwy
Walterboro, SC 29488
Phone (843) 522-8223
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Hartsville, SC
- NPI 1720082571
-
dba Lowcountry Urgent Care
- Primary Care Nurse Practitioner
- Beaufort, SC
- NPI 1326364100
-
- Federally Qualified Health Center (FQHC)
- Society Hill, SC
- NPI 1194763714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1871971648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 WINDSHALL RD",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "29540",
"telephone_number": "423-612-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 S 4TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295500703",
"telephone_number": "843-332-3422",
"fax_number": "842-332-3985"
}
],
"practiceLocations": [
{
"address_1": "1010 Highway 17 N",
"address_purpose": "LOCATION",
"city": "North Myrtle Beach",
"state": "SC",
"postal_code": "295822806",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POULTON",
"first_name": "KRISTA",
"middle_name": "MICHELLE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-13",
"last_updated": "2025-09-02",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.