Clarendon Health and Wellness Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLARENDON HEALTH AND WELLNESS CENTER

Practice address

107 Sunset Dr
Manning, SC 29102-2904

Phone

(803) 435-4447

Fax

(803) 435-9092

NPI assigned

Jun 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marva D WilliamsNPI 1518068873

Title

MD

Phone

(803) 435-4447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16484/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marva Denise Williams, MD

  • Family Medicine Physician
  • Manning, SC
  • NPI 1518068873
  Medicare reassignment Care Compare group NPD Authorized official
• Jade Hazel Pack

  • Family Nurse Practitioner
  • Manning, SC
  • NPI 1992511216
  Medicare reassignment Care Compare group NPD
• Sonam Kuber Cogdill

  • Physician Assistant
  • Manning, SC
  • NPI 1205440955
  Medicare reassignment Care Compare group
• William T Culclasure, PA-C

  • Physician Assistant
  • Columbia, SC
  • NPI 1205878410
  Medicare reassignment Care Compare group
• Elizabeth Marie Disher, APRN

  • Family Nurse Practitioner
  • Sumter, SC
  • NPI 1063976546
  NPD (past)
• George R Jones, M.D.

  • Family Medicine Physician
  • Manning, SC
  • NPI 1801946777
  NPD (past)

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689194060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARVA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "803-435-4447"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarendon County Council on Aging
• Clarendon County DSN Board
• Clarendon County School District
• Clarendon Eye Center P a
• Clarendon Family Dentistry Inc
• Clarendon Hospital District (Cypress Center Pharmacy)
• Clarendon Memorial Hospital (Pocotaligo Health and Rehab Center)
• Clarendon Memorial Hospital (Cypress Center LTC Pharmacy)
• Clarendon Memorial Hospital (Clarendon Pulmonary Associates)
• Clarendon Memorial Hospital (The Clarendon Clinic)

• Family Medicine Physician in Manning, SC
• Providers in Manning, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.