MEDICARE: NOVA HELIX MULTI CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1033041652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA HELIX MULTI CLINIC LLC

Provider Business Mailing Address
First Line	:	3236 LANDMARK DR STE 110
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-8490
Country	:	US
Telephone Number	:	843-290-4885
Fax Number	:	843-793-2603

Provider Business Practice Location Address
First Line	:	3236 LANDMARK DR STE 110
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29418-8490
Country	:	US
Telephone Number	:	843-290-4885
Fax Number	:	843-793-2603

Authorized Official
Title or Position	:	OWNER
Name	:	OCTAVIA WILLIAMS
Credential	:
Telephone Number	:	843-303-4831

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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