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MAGNOLIA ENDOCRINOLOGY, LLC
NPI 1922639897
Internal Medicine - Endocrinology, Diabetes & Metabolism in Summerville, SC

Active since January 30, 2020CLIA 42D2179747 · Waiver
204 PARSONS RD, SUMMERVILLE, SC 29483(854) 201-3636 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 21, 2022, Jun 2, 2021, May 27, 2021 and 2 more (5 updates tracked since 2020).

About Magnolia Endocrinology, Llc NPPES

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

MAGNOLIA ENDOCRINOLOGY, LLC (NPI 1922639897) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Summerville, South Carolina and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Temple Mewshaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1922639897
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameMAGNOLIA ENDOCRINOLOGY, LLC
Location Address204 PARSONS RDSummerville, SC 29483-3348
Mailing Address204 Parsons RdSummerville, SC 29483-3348 · (854) 201-3636 · Fax (854) 201-1983
Phone(854) 201-3636
Organization SubpartNo
Authorized OfficialTemple MewshawOwner · (854) 201-3636
Enumeration DateJanuary 30, 2020
Last NPPES UpdateJanuary 21, 20225 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1922639897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
204 PARSONS RD, Summerville, SC 29483
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Other Identifiers 1

MedicaidK109SC

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 42D2179747

Magnolia Endocrinology · Summerville, SC
Active · expires Mar 1, 2028
CLIA Number42D2179747
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorTemple Simpson
Laboratory Phone(854) 220-0120
Laboratory LocationMagnolia Endocrinology204 Parsons Road, Summerville, SC 29483
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

RACHEL GRACE BENGTSON PA
Physician Assistant
204 PARSONS RD
SUMMERVILLE, SC 29483
Berkeley County (843) 900-0495
MRS. TEMPLE WALKER SIMPSON PA-C
Physician Assistant (Medical)
204 PARSONS RD
SUMMERVILLE, SC 29483
Berkeley County (854) 220-0120
MISS REBECCA PROVOST LAWSON PA
Physician Assistant
204 PARSONS RD
SUMMERVILLE, SC 29483
Berkeley County (854) 201-3636
JOHN BENNETT SCHENCK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
204 PARSONS RD
SUMMERVILLE, SC 29483
Berkeley County (854) 201-3636

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 Magnolia Endocrinology, LLC's NPI number?

The NPI number for Magnolia Endocrinology, LLC is 1922639897. It was assigned to this organization in the NPPES registry on January 30, 2020.

Where is Magnolia Endocrinology, LLC located?

Magnolia Endocrinology, LLC is located at 204 Parsons Rd, Summerville, SC 29483. The listed phone number is (854) 201-3636.

What is Magnolia Endocrinology, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Magnolia Endocrinology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2179747) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Magnolia Endocrinology, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Magnolia Endocrinology, LLC 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 Magnolia Endocrinology, LLC was last updated on January 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.