Charlie Jean Wofford, MD BCBA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32464 Issued in SC

Practice address

1136 Kincaid Bridge Rd
Suite a
Winnsboro, SC 29180-7116

Phone

(803) 635-1052

Fax

(803) 712-9724

NPI assigned

Jul 22, 2008

Last updated

Oct 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical University of South Carolina College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eau Claire Cooperative Health Center, Inc.Group PAC ID 3274434220, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charlie.wofford.1@10781.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eau Claire Cooperative Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1346249430

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Eau Claire Cooperative Health Center ,Inc.

  dba Cooperative Health @ CAMH

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
  • NPI 1588375653
  NPD
• Pediatrics of Newberry, LLC

  • Pediatrics Physician
  • Newberry, SC
  • NPI 1659400851
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1609031400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 KINCAID BRIDGE RD STE A",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807116",
            "telephone_number": "803-635-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 KINCAID BRIDGE RD",
            "address_2": "SUITE A",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291807116",
            "telephone_number": "803-635-1052",
            "fax_number": "803-712-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOFFORD",
        "first_name": "CHARLIE",
        "middle_name": "JEAN",
        "credential": "MD BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32464",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324644",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marianna Wilbur, PHARMD
• Philip Charles Wilkins Sr., D.M.D.
• Marlene Williams, CACII
• Dorraine Dinell Wineglass, MA
• Winnsboro Chiropractic
• Hemonia Woodard, CNA
• Neil Thomas Wrenn, DMD
• Tracie Young, NP
• Youth Options Under Teen Health, Inc
• Youth Options Under Teen Health, Inc.

• Family Medicine Physician in Winnsboro, SC
• Providers in Winnsboro, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.