Magnolia Functional Medicine, LLC
NPI 1952196826 · General Practice Physician · Charleston, SC
Magnolia Functional Medicine, LLC is a General Practice Physician organization in Charleston, SC (NPI 1952196826).
Provider details
- NPI number
- 1952196826
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Green, Practice Manager(843) 513-9577
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Naturopath175F00000X
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Registry dates
- Enumerated
- 2025-04-11
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Frequently asked questions
- What is Magnolia Functional Medicine, LLC's NPI number?
- Magnolia Functional Medicine, LLC's National Provider Identifier (NPI) is 1952196826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Magnolia Functional Medicine, LLC?
- Magnolia Functional Medicine, LLC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Magnolia Functional Medicine, LLC located?
- Magnolia Functional Medicine, LLC's practice location on file with NPPES is 1064 Gardner Rd Ste 208, Charleston, SC 29407-1712.
- What is Magnolia Functional Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Magnolia Functional Medicine, LLC is (843) 501-2333.
- Who is the authorized official for Magnolia Functional Medicine, LLC?
- The authorized official listed on Magnolia Functional Medicine, LLC's NPPES record is Jessica Green, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Magnolia Functional Medicine, LLC's NPI active?
- Yes — Magnolia Functional Medicine, LLC's NPI (1952196826) is active in the NPPES registry as of the last update on 2026-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.