CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA (NPI# 1750304002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750304002 |
| Entity Type | Organization |
| Organization Name | CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA |
| Other Organization Name | CCAMP CAROLINA PAIN CENTER |
| Practice Address |
279 E Kennedy St Spartanburg SC 29302-1912 |
| Mailing Address |
1330 Boiling Springs Road Suite 2700 Spartanburg SC 29303 |
| Practice Telephone | 8645830053 |
| Practice Fax Number | 8645830390 |
| Mailing Telephone | 8645830053 |
| Mailing Fax Number | 8645830390 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MRS. JANICE N CASH (PRACTICE MANAGER) |
| Authorized Official Telephone | 8645830053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 013KE | 01 |
| SC | GP1456 | 05 | |
| SC | PTAN | 1180470003 | 01 |
| NC | 89013KE | 05 | |
| SC | GP2967 | 05 |
| Other Name | Type Code |
|---|---|
| CCAMP Carolina Pain Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043540222 | Carolinas Center for Advanced Management of Pain, Pa | Anesthesiology | 10 Enterprise Blvd Ste 201, Greenville, SC 29615-3554 | 2010-01-11 |
| 1427387570 | Carolinas Center for Advanced Management of Pain, Pa | Anesthesiology | 7021 Saint Andrews Rd Ste 1, Columbia, SC 29212-1177 | 2009-12-21 |
| 1629372768 | Carolinas Center for Advanced Management of Pain, Pa | Physical Medicine & Rehabilitation | 1998 Hendersonville Rd, Asheville, NC 28803-2349 | 2011-01-04 |
| Street Address |
279 E KENNEDY ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-1912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782978 | Tina Dianne Smith | Nurse Practitioner | 279 E Kennedy St, Spartanburg, SC 29302-1912 | 2019-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992728141 | Yevgeny Eugene Mironer | Pain Medicine | 1330 Boiling Springs Road, Suite 2700, Spartanburg, SC 29303 | 2006-07-26 |
| 1710908496 | John Christian Haasis | Pain Medicine | 1330 Boiling Springs Road, Suite 2700, Spartanburg, SC 29303 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120517 | Greater Greer Pain Relief Center, LLC | Pain Medicine | 127 Mills Ave Ste B, Greer, SC 29651-2514 | 2020-06-30 |
| 1649803313 | Synergy Spine Center, Pa | Pain Medicine | 457 U.S. Highway 123, Suite D, Seneca, SC 29678 | 2020-02-20 |
| 1649783374 | Carolina Healthchoice of Orangeburg, LLC | Pain Medicine | 1737 Village Park Dr, Orangeburg, SC 29118-2475 | 2017-11-16 |
| 1528596202 | Florence Pain Solutions LLC | Pain Medicine | 491 W Cheves St Ste C, Florence, SC 29501-4407 | 2017-05-25 |
| 1710414305 | Sc Pain & Spine Specialists, LLC | Pain Medicine | 4112 Carolina Commercial Dr, Myrtle Beach, SC 29579-4223 | 2017-05-15 |
| 1538557780 | Sc Pain and Spine Specialist | Pain Medicine | 230 S Fraser Street, Georgetown, SC 29440 | 2014-12-22 |
| 1144576612 | Firstchoice Healthcare PC | Pain Medicine | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 | 2012-08-02 |
| 1326344086 | Firstchoice Healthcare, PC | Pain Medicine | 120 Highland Center Dr, Suite 105, Columbia, SC 29203-9127 | 2011-01-28 |
| 1760636856 | Pain Specialists of Charleston Pa | Pain Medicine | 2695 Elms Plantation Blvd Ste A, North Charleston, SC 29406-7132 | 2008-11-17 |
| 1982867875 | Low Country Pain Center LLC | Pain Medicine | 793 Cook Road, Orangeburg, SC 29118-9008 | 2008-07-09 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.