Individual provider Active NPI

Krista Michelle Poulton, FNP-BC

  • Family Nurse Practitioner
  • Hartsville, SC
National Provider Identifier
1871971648
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19457 Issued in SC
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

Updated by the provider on Sep 2, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150803002777 SC Practitioner - Nurse Practitioner 5395059406 Reassigns benefits to 3 organizations

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
Caresouth Carolina Inc.Group PAC ID 1052221314, 66 clinicians

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

LicenseStateTypeSpecialty
19457SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Dec 19, 2017 Accepting new patients
Caresouth Carolina, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Lowcountry Urgent Care LLC CurrentSince May 1, 2020 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Dec 19, 2017 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.

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

Verify at the official NPI Registry.