CAROLINA HEALTH AND WELLNESS SERVICES, LLC
NPI 1043804388
Pediatrics in Johns Island, SC

Q: What is Carolina Health And Wellness Services, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 26, 2021CLIA 42D2193373 · Waiver

2754 MAYBANK HWY STE B, JOHNS ISLAND, SC 29455(843) 996-4908(843) 962-5450 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carolina Health And Wellness Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA HEALTH AND WELLNESS SERVICES, LLC (NPI 1043804388) is a healthcare organization registered as a pediatrics in Johns Island, South Carolina and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Blake Douglas Devolld, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043804388

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameCAROLINA HEALTH AND WELLNESS SERVICES, LLC

Location Address2754 MAYBANK HWY STE BJohns Island, SC 29455-4809

Mailing Address2754 Maybank Hwy Ste BJohns Island, SC 29455-4809 · (843) 996-4908 · Fax (843) 962-5450

Phone(843) 996-4908

Fax(843) 962-5450

Organization SubpartNo

Authorized OfficialBlake Douglas DevolldPractice Manager · (843) 996-4908

Enumeration DateFebruary 26, 2021

NPPES CertifiedFebruary 26, 2021

✔ NPI 1043804388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2754 MAYBANK HWY STE B, Johns Island, SC 29455

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Other Identifiers 1

Medicaid406340SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2193373

Carolina Health And Wellness Services, LLC · Johns Island, SC

Active · expires Sep 20, 2026

CLIA Number42D2193373

Laboratory TypePhysician Office

Certificate Effective DateSeptember 21, 2024

Certificate Expiration DateSeptember 20, 2026

Laboratory DirectorKimberly M. Devolld

Laboratory Phone(843) 996-4908

Laboratory LocationCarolina Health And Wellness Services, LLC2754 Maybank Hwy, Suite B, Johns Island, SC 29455

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY M DEVOLLD M.D.

General Practice

2754 MAYBANK HWY STE B
JOHNS ISLAND, SC 29455

Charleston County (843) 996-4908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Health And Wellness Services, LLC's NPI number?

The NPI number for Carolina Health And Wellness Services, LLC is 1043804388. It was assigned to this organization in the NPPES registry on February 26, 2021.

Where is Carolina Health And Wellness Services, LLC located?

Carolina Health And Wellness Services, LLC is located at 2754 Maybank Hwy Ste B, Johns Island, SC 29455. The listed phone number is (843) 996-4908.

What is Carolina Health And Wellness Services, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Carolina Health And Wellness Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2193373) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carolina Health And Wellness Services, LLC was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.