Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARISSA LENA MARIA CHARLES
NPI 1104528462
Family Medicine in Myrtle Beach, SC

Q: What is Karissa Charles's NPI number?

The NPI number for Karissa Charles is 1104528462. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Karissa Charles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Karissa Charles was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.

Active since March 20, 2023PECOS Enrolled

3725 RENEE DR, MYRTLE BEACH, SC 29579(843) 350-1124(877) 452-8854 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Mar 21, 2023 (2 updates tracked since 2023).

On this page

About Karissa Lena Maria Charles NPPES

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

KARISSA LENA MARIA CHARLES (NPI 1104528462) is an individual family medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (98057) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104528462

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKARISSA LENA MARIA CHARLES

Location Address3725 RENEE DRMyrtle Beach, SC 29579-4109

Mailing Address3725 Renee DrMyrtle Beach, SC 29579-4109 · (843) 350-1124 · Fax (877) 452-8854

Phone(843) 350-1124

Fax(877) 452-8854

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1104528462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SC · 98057

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3725 RENEE DR, Myrtle Beach, SC 29579

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Lena Maria Charles is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29579 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MRS. JESSICA LEIGH IONNO NP

Nurse Practitioner (Family)

3725 RENEE DR
MYRTLE BEACH, SC 29579

Horry County (843) 350-1124

VALDA GIBSON M.D.

Internal Medicine

3725 RENEE DR
MYRTLE BEACH, SC 29579

Horry County (843) 350-1124

ALEXIS JO BROWN MD

Family Medicine

3725 RENEE DR
MYRTLE BEACH, SC 29579

Horry County (843) 350-1124

CENTERWELL SENIOR PRIMARY CARE SC JV PC

Internal Medicine

3725 RENEE DR
MYRTLE BEACH, SC 29579

Horry County (843) 350-1124

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 Karissa Charles's NPI number?

The NPI number for Karissa Charles is 1104528462. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Karissa Charles located?

Karissa Charles practices at 3725 Renee Dr, Myrtle Beach, SC 29579. The listed phone number is (843) 350-1124.

What is Karissa Charles's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karissa Charles enrolled in Medicare?

Yes. Karissa Charles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karissa Charles was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.