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Magnolia Functional Medicine, LLC

General Practice Physician in Charleston, SC · enumerated 2025 · authorized official Jessica Green, Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952196826

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Registry record

Entity type Organization (Type 2)
Legal business name Magnolia Functional Medicine, LLC
Practice address 1064 Gardner Rd Ste 208, Charleston, SC, 29407
Phone (843) 501-2333
Enumeration date Apr 11, 2025
Last updated in NPPES May 15, 2026

Taxonomy & classification

175F00000X Naturopath Other Service Providers Secondary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Jessica Green
Title Practice Manager
Phone (843) 513-9577

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Magnolia Functional Medicine, LLC?
Magnolia Functional Medicine, LLC is registered in NPPES as a General Practice Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-15.