SOUTHERN PAIN SPECIALISTS (NPI# 1861983249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861983249 |
| Entity Type | Organization |
| Organization Name | SOUTHERN PAIN SPECIALISTS |
| Practice Address |
115 Blarney Dr Ste 111 Columbia SC 29223 |
| Mailing Address |
115 Blarney Dr Ste 111 Columbia SC 29223-6291 |
| Practice Telephone | 8034195345 |
| Mailing Telephone | 8034195345 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2019-03-26 |
| Authorized Official Name | DR. STEPHEN M TUEL (PRESIDENT / OWNER) |
| Authorized Official Telephone | 8034195345 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
MD18268 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SC MEDICAL LICENSE | MD18268 | 01 |
| Street Address |
115 BLARNEY DR STE 111 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619522794 | Timothy Drew Edwards | Dentist | 122 N. Brickyard Rd, Columbia, SC 29223 | 2019-08-06 |
| 1710481452 | Evans Counseling and Consulting, LLC | Social Worker | 120 Wildewood Park Dr Ste A, Columbia, SC 29223 | 2018-03-19 |
| 1750824819 | Marquita Heyward | Counselor | 1 Winsor Cove Suite 303, Columbia, SC 29223 | 2016-11-22 |
| 1578015509 | Carolina Family Pharmacy, LLC | Pharmacy | 9153 Two Notch Road, Columbia, SC 29223 | 2016-10-25 |
| 1225485170 | Lisa Diaz | Occupational Therapy Assistant | 7601 Parlane Rd, Columbia, SC 29223 | 2016-05-20 |
| 1295199859 | Sarah Ann Riley | Nurse Practitioner | Cvs Pharmacy 121 Clemson Rd., Columbia, SC 29223 | 2016-04-11 |
| 1134583214 | Sara Alisha Pound | Behavioral Analyst | 97b Winterberry Ln, Columbia, SC 29223 | 2016-04-05 |
| 1508227653 | Lucy Elvira Vicioso-harris | Counselor | 1310 Oakcrest Dr Apt 318, Columbia, SC 29223 | 2016-03-17 |
| 1134585243 | Robin Heaton | Occupational Therapy Assistant | 7601 Parklane Road, Columbia, SC 29223 | 2016-01-05 |
| 1023494804 | Bola Shanise Alimi | Counselor | 1 Windsor Cove Suite #301, Columbia, SC 29223 | 2015-08-04 |
| Find all providers in zip 29223 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639333644 | Mariam Hameed | Physical Medicine & Rehabilitation | 5500 Knoll North Dr Ste 500, Columbia, MD 21045 | 2008-07-18 |
| 1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
| 1336798388 | Global Pain Management | Physical Medicine & Rehabilitation | 8900 Columbia 100 Parkway, Suite C, Columbia, MD 21045-7346 | 2019-09-11 |
| 1679136469 | Advanced Pain Management Specialists, LLC | Physical Medicine & Rehabilitation | 5500 Knoll North Dr Ste 500, Columbia, MD 21045-2365 | 2019-04-17 |
| 1881945723 | Spine and Rehabilitation Physicians, P.a. | Physical Medicine & Rehabilitation | 5500 Knoll North Dr, Suite 235, Columbia, MD 21045-2370 | 2012-10-01 |
| 1639200942 | Ebby George Varghese | Physical Medicine & Rehabilitation | 3211 S Providence Rd, Bldg. C, Columbia, MO 65203-3639 | 2007-03-08 |
| 1134231996 | Arcis Healthcare | Physical Medicine & Rehabilitation | 114 Gateway Corporate Blvd, Suite 110, Columbia, SC 29203-9740 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598295230 | Arcis Healthcare, LLC | Physical Medicine & Rehabilitation | 1300 Hospital Dr Ste 130, Mount Pleasant, SC 29464-3204 | 2017-06-15 |
| 1770740664 | Carolina Spine and Sport Rehabiliatation Specialist,p.a. | Physical Medicine & Rehabilitation | 763 Travelers Blvd Ste D, Summerville, SC 29485-8796 | 2008-05-19 |
| 1114092897 | Craig Dyer Harris | Physical Medicine & Rehabilitation | 130 East Third North Street, Summerville, SC 29483 | 2006-11-21 |
| 1023180031 | Craig D Harris Md Pa | Physical Medicine & Rehabilitation | 310 N Gum St, Summerville, SC 29483-6874 | 2006-11-14 |
| 1255401782 | Jeffrey C. Wilkins | Physical Medicine & Rehabilitation | 631 Bellamy Ave, Unit A, Murrells Inlet, SC 29576-6459 | 2006-11-09 |
| 1700992922 | Waccamaw Pain Partners Pa | Physical Medicine & Rehabilitation | 4033 Hwy 17 Bypass, Suite 108, Murrells Inlet, SC 27576 | 2006-08-21 |
| 1669433298 | John Robert Alexander Jr. | Physical Medicine & Rehabilitation | 526 Johnnie Dodds Blvd Ste 301, Mt Pleasant, SC 29464 | 2006-03-31 |
| 1447242813 | Matthew Terzella | Physical Medicine & Rehabilitation | 303 E Wood St, Spartanburg, SC 29303-3020 | 2005-08-22 |
| 1780684829 | George Alan Bitting | Physical Medicine & Rehabilitation | 718 Lafayette Ave, Camden, SC 29020-3522 | 2005-07-29 |
| 1225648777 | Low Country Pain and Neuropthy | Physical Medicine & Rehabilitation | 1123 Queensborough Blvd, Mt Pleasant, SC 29464-3682 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
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| 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.