CHARLOTTE WALLACE M.D.
NPI 1831540178
Radiology - Diagnostic Radiology in Charleston, SC
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 Tidelands Georgetown Memorial Hospital, and maintains a secondary practice location in Greenville.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Charlotte Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, SC 29425
- Reassigned Medicare billing, South Carolina enrollment
- 2,594 clinicians in this Medicare group
Georgetown, SC 29440
- Reassigned Medicare billing, South Carolina enrollment
- 7 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Scottsdale, AZ 85251
- Reassigned Medicare billing, South Carolina enrollment
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidelands Georgetown Memorial Hospital
Acute Care Hospitals · Georgetown, SCMusc Health Columbia Medical Center Downtown
Acute Care Hospitals · Columbia, SCKershawhealth
Acute Care Hospitals · Camden, SCMusc Health Florence Medical Center
Acute Care Hospitals · Florence, SCTidelands Waccamaw Community Hospital
Acute Care Hospitals · Murrells Inlet, SCPhysician 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.
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.
CHARLESTON, SC 29425
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.
Which organizations bill Medicare for Charlotte Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charlotte Wallace reassigns Medicare benefits to 4 organizations: University Medical Associates Of The Medical University Of South Carol (Charleston, SC), Georgetown Radiology (Georgetown, SC), Musc Community Physicians (Bamberg, SC) and Smi Imaging, LLC (Scottsdale, AZ). Each 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 Charlotte Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charlotte Wallace accept?
Health plans from Blue Cross Blue Shield of Arizona 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 Tidelands Georgetown Memorial Hospital, Musc Health Columbia Medical Center Downtown, Kershawhealth, 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.