Trident Pain Center LLC
A Medicare group practice based in N Charleston, SC: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911897269), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7911897269
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- SC
- Enrollments
- 1
- Group size
- 18 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040318001454 | SC | Part B Supplier - Clinic/Group Practice | 1801992961 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Trident Pain Center LLC
- Interventional Pain Medicine Physician
- N Charleston, SC
- NPI 1801992961
-
Trident Pain Center LLC
- Pain Medicine (Anesthesiology) Physician
- Moncks Corner, SC
- NPI 1154757482
Practice locations
- Orangeburg, SC1
- Walterboro, SC1
- Columbia, SC1
- Camden, SC1
- West Columbia, SC1
- Moncks Corner, SC1
- N Charleston, SC1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 75 of 100
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (18).
-
Alycia Strickland Abdulla, FNP-BC
- Family Nurse Practitioner
- Camden, SC
- NPI 1003560913
-
Devin Antonovich, M.D.
- Anesthesiology Physician
- West Columbia, SC
- NPI 1770036410
-
Michael Chad Atchley Sr., P.A.
- Physician Assistant
- West Columbia, SC
- NPI 1104092204
-
Dodi Lynn Baum, NP-C
- Family Nurse Practitioner
- North Charleston, SC
- NPI 1053865576
-
Anne Wynne Edens, PSY.D.
- Clinical Psychologist
- North Charleston, SC
- NPI 1831217116
-
Edward A Gage
- Physician Assistant
- West Columbia, SC
- NPI 1770672792
-
Stephen P Gibert Jr., MD
- Interventional Pain Medicine Physician
- Rome, GA
- NPI 1578671517
-
Kristen Renaud Giet, PA-C
- Physician Assistant
- North Charleston, SC
- NPI 1336362433
-
Meredith Lynn Good, FNP-C
- Family Medicine Physician
- Columbia, SC
- NPI 1730618679
-
Dee Anne Louise Griffin, FNP-C
- Family Nurse Practitioner
- West Columbia, SC
- NPI 1518465210
-
Carolyn Ann Koster Hyatt, PA-C
- Physician Assistant
- North Charleston, SC
- NPI 1073819249
-
Richard S Kellett, MD
- Anesthesiology Physician
- N Charleston, SC
- NPI 1801825229
-
Anthony Raymond Maggio, MD
- Pain Medicine Physician
- Mobile, AL
- NPI 1265593453
-
Courtney B Moldenhauer, PA-C
- Physician Assistant
- N Charleston, SC
- NPI 1992001465
-
Joseph Edward Nolan, MD
- Interventional Pain Medicine Physician
- N Charleston, SC
- NPI 1679576813
-
Jessica Pringle, APRN
- Nurse Practitioner
- Columbia, SC
- NPI 1902761786
-
Beth Sanders, FNP
- Family Nurse Practitioner
- Leesville, SC
- NPI 1609640416
-
Allyson J Thatcher, MD
- Interventional Pain Medicine Physician
- North Charleston, SC
- NPI 1922047380
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.