CHARLOTTE WALLACE M.D.
NPI 1831540178
Radiology - Diagnostic Radiology in Charleston, SC

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425(843) 792-2300 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Dec 8, 2021, Nov 7, 2017 and 1 more (4 updates tracked since 2016).

About Charlotte Wallace M.d. NPPES

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

CHARLOTTE WALLACE M.D. (NPI 1831540178) is an individual diagnostic radiology provider in Charleston, South Carolina, licensed in South Carolina (39581) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1831540178
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameCHARLOTTE WALLACECredential: M.D.
Location Address96 JONATHAN LUCAS STCharleston, SC 29425-6672
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateApril 26, 20224 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1831540178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in SC · 39581
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License LL39581 (SC)
96 JONATHAN LUCAS ST, Charleston, SC 29425

Secondary Practice Location 1

Location 11210 W Faris RdGreenville, SC 29605-4444 · Phone (864) 522-1800 · Fax (864) 522-1806

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charlotte Wallace M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062709256
PECOS Enrollment IDI20210629001062
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.

Areas of Expertise CMS Part B claims 91

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,285 services1,056 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
932 services899 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
423 services398 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
402 services387 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
354 services336 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
335 services329 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Tidelands Georgetown Memorial Hospital

Acute Care Hospitals · Georgetown, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420020
Location606 Black River Rd Drawer 1718Georgetown, SC 29440 · Georgetown County
Emergency services

Musc Health Columbia Medical Center Downtown

Acute Care Hospitals · Columbia, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420026
Location2435 Forest DriveColumbia, SC 29204 · Richland County
Emergency services

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 20

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

Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
General Acute Care Hospital
96 JONATHAN LUCAS ST, SUITE 409
CHARLESTON, SC 29425
Physician Assistant (Medical)
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Internal Medicine (Pulmonary Disease)
96 JONATHAN LUCAS ST, STE 816 CSB MSC 630
CHARLESTON, SC 29425
Physician Assistant
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425
Internal Medicine (Rheumatology)
96 JONATHAN LUCAS ST, SUITE 912 CSB
CHARLESTON, SC 29425
Surgery
96 JONATHAN LUCAS ST
CHARLESTON, SC 29425

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 Charlotte Wallace's NPI number?

The NPI number for Charlotte Wallace is 1831540178. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Charlotte Wallace located?

Charlotte Wallace practices at 96 Jonathan Lucas St, Charleston, SC 29425. The listed phone number is (843) 792-2300.

What is Charlotte Wallace's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Charlotte Wallace enrolled in Medicare?

Yes. Charlotte Wallace is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charlotte Wallace accept?

Health plans from Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter of North Carolina list Charlotte Wallace 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.

Is Charlotte Wallace affiliated with any hospitals?

According to CMS data, Charlotte Wallace is affiliated with Musc Medical Center, Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Musc Health Florence Medical Center and Tidelands Waccamaw Community Hospital.

When was this NPI record last updated?

The NPPES record for Charlotte Wallace was last updated on April 26, 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.