Miss. Kelley Marie Moody, NP-C

Individual provider Adult Medicine Physician · NPI 1194358317

Miss. Kelley Marie Moody, NP-C is a Nurse Practitioner in Hartsville, South Carolina. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying: 7
Licensed in: SC
In the registry since: 2020

What do these letters mean?

NP-C — Nurse Practitioner, Certified: A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

750 W Carolina Ave
Hartsville, SC 29550-4412
Phone: (843) 951-9990
Fax: (843) 951-9989

Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary)	Taxonomy 207QA0505X · Licence 23682 (SC)

Record details

NPI number	1194358317
Entity type	Individual (Type 1)
Gender	Female
Credentials	NP-C
Sole proprietor	Yes
NPI enumerated	February 17, 2020
Last updated in NPPES	February 8, 2022
Certification date	February 8, 2022

Medicare enrollment

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

Medicare specialty	NURSE PRACTITIONER
Medical school	OTHER
Graduated	2019 (7 years in practice)
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount