Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Lee Kidd, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508516873

Cody Lee Kidd, DO is a Family Practice in Cheraw, South Carolina. Graduated from Lincoln Memorial University Medical Department in 2022, 4 years ago. Practices with Hartsville Medical Group LLC, a 68-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
4
Trained at
Lincoln Memorial University Medical Department
Licensed in
SC
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

710 Chesterfield Hwy
Cheraw, SC 29520-7001
Phone: (843) 537-2171
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 87607 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508516873
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2022
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023
Mailing address555 E Cheves St, Florence, SC 29506-2617

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2022 (4 years in practice)
Group practice Hartsville Medical Group Llc — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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