Active NPI
Amethyst Wellness Center
- Community/Behavioral Health Agency
- Cheraw, SC
National Provider Identifier
1033833975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AMETHYST WELLNESS CENTER
- Practice address
- 110 Duvall St
Cheraw, SC 29520-2406 - Phone
- (980) 316-5129
- Fax
- (877) 497-9606
- NPI assigned
- Oct 3, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Garcia Lee Morman Jr.
- Title
- Owner
- Phone
- (980) 316-5129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
110 Duvall St
Cheraw, SC 29520-2406
Mailing address
110 Duvall St
Cheraw, SC 29520-2406
Phone (980) 316-5129
Other names 1
- Amethyst Wellness Center
National Provider Directory
National Provider DirectoryLocations
110 Duvall St
Cheraw, SC 29520
Phone (910) 434-4970
1001 W Evans St
Florence, SC 29501
Phone (843) 603-3041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1033833975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 DUVALL ST",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202406",
"telephone_number": "980-316-5129",
"fax_number": "877-497-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 DUVALL ST",
"city": "CHERAW",
"state": "SC",
"postal_code": "295202406",
"telephone_number": "980-316-5129",
"fax_number": "877-497-9606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMETHYST WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "MORMAN",
"authorized_official_first_name": "GARCIA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "980-316-5129",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amethyst Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amethyst Wellness Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cheraw, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.