Southern Charm Medical and Wellness, LLC
NPI 1659121614 · Family Medicine Physician · Pageland, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Charm Medical and Wellness, LLC is a Family Medicine Physician organization in Pageland, SC (NPI 1659121614).
Provider details
- NPI number
- 1659121614
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Crystal B. Clark
- Organization subpart
- Yes
- Authorized official
- Crystal Clark, Owner/Provider(843) 675-5070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Other names (DBA / former)
- Doing business as
- Southern Charm Medical & Wellness
- Doing business as
- Southern Charm Medical & Wellness, LLC
Registry dates
- Enumerated
- 2024-03-25
- Last updated
- 2026-03-08
- Certified
- 2026-03-08
Frequently asked questions
- What is Southern Charm Medical and Wellness, LLC's NPI number?
- Southern Charm Medical and Wellness, LLC's National Provider Identifier (NPI) is 1659121614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Charm Medical and Wellness, LLC?
- Southern Charm Medical and Wellness, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Charm Medical and Wellness, LLC located?
- Southern Charm Medical and Wellness, LLC's practice location on file with NPPES is 211 S Pearl St Ste B, Pageland, SC 29728-2261.
- What is Southern Charm Medical and Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Charm Medical and Wellness, LLC is (843) 675-5070.
- Does Southern Charm Medical and Wellness, LLC accept Medicare?
- Southern Charm Medical and Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Charm Medical and Wellness, LLC?
- The authorized official listed on Southern Charm Medical and Wellness, LLC's NPPES record is Crystal Clark, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Charm Medical and Wellness, LLC's NPI active?
- Yes — Southern Charm Medical and Wellness, LLC's NPI (1659121614) is active in the NPPES registry as of the last update on 2026-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.