Abundant Grace Wellness, LLC
NPI 1962092114 · Adult Health Nurse Practitioner · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Abundant Grace Wellness, LLC is a Adult Health Nurse Practitioner organization in Charleston, SC (NPI 1962092114).
Provider details
- NPI number
- 1962092114
- Entity type
- Organization
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Gloria Wilson, Authorized Official/Provider(843) 801-0861
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
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
5 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
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2023-09-14
- Certified
- 2021-01-21
Frequently asked questions
- What is Abundant Grace Wellness, LLC's NPI number?
- Abundant Grace Wellness, LLC's National Provider Identifier (NPI) is 1962092114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abundant Grace Wellness, LLC?
- Abundant Grace Wellness, LLC is classified in the NPPES registry as Adult Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Abundant Grace Wellness, LLC located?
- Abundant Grace Wellness, LLC's practice location on file with NPPES is 2045 Maybank Hwy, Charleston, SC 29412.
- What is Abundant Grace Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Abundant Grace Wellness, LLC is (843) 801-0861.
- Does Abundant Grace Wellness, LLC accept Medicare?
- Abundant Grace 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 Abundant Grace Wellness, LLC?
- The authorized official listed on Abundant Grace Wellness, LLC's NPPES record is Gloria Wilson, Authorized Official/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abundant Grace Wellness, LLC's NPI active?
- Yes — Abundant Grace Wellness, LLC's NPI (1962092114) is active in the NPPES registry as of the last update on 2023-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.