CLARENDON HEALTH AND WELLNESS CENTER
NPI 1689194060
Family Medicine in Manning, SC

Q: What is Clarendon Health And Wellness Center's NPI number?

The NPI number for Clarendon Health And Wellness Center is 1689194060. It was assigned to this organization in the NPPES registry on June 26, 2017.

Q: What is Clarendon Health And Wellness Center's specialty?

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

Active since June 26, 2017CLIA 42D2133965 · Waiver

107 SUNSET DR, MANNING, SC 29102(803) 435-4447(803) 435-9092 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

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About Clarendon Health And Wellness Center NPPES

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

CLARENDON HEALTH AND WELLNESS CENTER (NPI 1689194060) is a healthcare organization registered as a family medicine in Manning, South Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Marva D Williams, Md, as its authorized official.

NPPES Registry Identity

NPI1689194060

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCLARENDON HEALTH AND WELLNESS CENTER

Location Address107 SUNSET DRManning, SC 29102-2904

Mailing Address107 Sunset DrManning, SC 29102-2904 · (803) 435-4447 · Fax (803) 435-9092

Phone(803) 435-4447

Fax(803) 435-9092

Organization SubpartNo

Authorized OfficialMarva D WilliamsMd · (803) 435-4447

Enumeration DateJune 26, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1689194060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

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.

107 SUNSET DR, Manning, SC 29102

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarendon Health And Wellness Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Clarendon Health And Wellness Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jade Pack

Nurse Practitioner

NPI 1992511216

107 SUNSET DR
Manning, SC 29102

(803) 435-4447

✔ PECOS✔ Accepts MedicareSame address

Marva Williams, MD

Emergency Medicine

NPI 1518068873

107 SUNSET DR
Manning, SC 29102

(803) 435-4447

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 42D2133965

Clarendon Health & Wellness Center · Manning, SC

Active · expires Jul 23, 2027

CLIA Number42D2133965

Laboratory TypePhysician Office

Certificate Effective DateJuly 24, 2025

Certificate Expiration DateJuly 23, 2027

Laboratory DirectorMarva Williams

Laboratory Phone(803) 435-4447

Laboratory LocationClarendon Health & Wellness Center107 Sunset Drive, Manning, SC 29102

CLIA data matches this NPI record on: Address Phone

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

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 Clarendon Health And Wellness Center's NPI number?

The NPI number for Clarendon Health And Wellness Center is 1689194060. It was assigned to this organization in the NPPES registry on June 26, 2017.

Where is Clarendon Health And Wellness Center located?

Clarendon Health And Wellness Center is located at 107 Sunset Dr, Manning, SC 29102. The listed phone number is (803) 435-4447.

What is Clarendon Health And Wellness Center's specialty?

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

Is Clarendon Health And Wellness Center enrolled in Medicare?

Yes. Clarendon Health And Wellness Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clarendon Health And Wellness Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Clarendon Health And Wellness Center, in Emergency Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clarendon Health And Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2133965) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clarendon Health And Wellness Center accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Clarendon Health And Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarendon Health And Wellness Center was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.