OrganizationActive
Active Life, LLC
NPI 1245549096 · Primary Care Clinic/Center · Charleston, SC
Active Life, LLC is a Primary Care Clinic/Center organization in Charleston, SC (NPI 1245549096).
Provider details
- NPI number
- 1245549096
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly O'Neill, Doctor/Owner(843) 588-5133
- License
- 3574 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
125 Wappoo Creek Dr
Suite 202
Charleston, SC 29412-2163
Phone: (843) 588-5133
Street-level locationGet directions
Mailing address
125 Wappoo Creek Dr
Charleston, SC 29412-2163
Registry dates
- Enumerated
- 2010-09-28
- Last updated
- 2010-09-28
Frequently asked questions
- What is Active Life, LLC's NPI number?
- Active Life, LLC's National Provider Identifier (NPI) is 1245549096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Life, LLC?
- Active Life, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Active Life, LLC located?
- Active Life, LLC's practice location on file with NPPES is 125 Wappoo Creek Dr, Charleston, SC 29412-2163.
- What is Active Life, LLC's phone number?
- The practice phone number listed in the NPPES registry for Active Life, LLC is (843) 588-5133.
- Who is the authorized official for Active Life, LLC?
- The authorized official listed on Active Life, LLC's NPPES record is Kelly O'Neill, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Life, LLC's NPI active?
- Yes — Active Life, LLC's NPI (1245549096) is active in the NPPES registry as of the last update on 2010-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.