South Carolina Pain and Wellness Center, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SOUTH CAROLINA PAIN AND WELLNESS CENTER, LLC

Practice address

5 Stevens St Ste 201
Greenville, SC 29605-4528

Phone

(770) 962-3642

NPI assigned

Sep 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amit S. Patel, MDNPI 1386834117

Title

Ceo

Phone

(770) 962-3642

Specialties & licenses 1

Addresses

Other names 1

• Summit Spine & Joint Centers Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

SC Pain and Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Carolina Pain and Wellness Center, LLC

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1588537716
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Georgia Pain and Wellness Center

  • Interventional Pain Medicine Physician
  • Savannah, GA
  • NPI 1972285161

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Carolina Pain and Wellness Center, LLC

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
  • NPI 1588537716
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Keith Hamilton, M.D.

  • Anesthesiology Physician
  • Greenville, SC
  • NPI 1649597089

  SC

  Medicare reassignment Care Compare group NPD
• Tracey Michelle Lyons-White, PA-C

  • Physician Assistant
  • Columbia, SC
  • NPI 1730500869

  SC

  Medicare reassignment Care Compare group NPD
• Jeffrey Scott Meyers, PA

  • Medical Physician Assistant
  • Golden, CO
  • NPI 1295918829

  SC

  Medicare reassignment Care Compare group NPD
• Amit Patel, MD

  • Anesthesiology Physician
  • Lawrenceville, GA
  • NPI 1386834117

  SC

  Medicare reassignment NPD Authorized official
• Kushagra Maini, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Columbia, SC
  • NPI 1932620259

  SC

  Medicare reassignment NPD
• Robert S. Westrol, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Greenville, SC
  • NPI 1497796916

  Interventional Pain Medicine, SC

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1023896255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PHILIP BLVD STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468768",
            "telephone_number": "770-962-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "770-962-3642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA PAIN AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-962-3642",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Summit Spine & Joint Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Carolina Dept of Mental Health Accounting Office
• South Carolina Diagnostic Imaging, Inc
• South Carolina Foot Care, Inc.
• South Carolina Interventional Pain - a, LLC
• South Carolina Luna Care Physical Therapy LLC
• South Carolina Physicians Eyecare Group, P.C.
• South Carolina Podiatric Physicians and Surgeons Group, LLC
• South Carolina Skin Cancer Center
• South Carolina United Psych LLC
• Christy Marie South, APRN, WHNP-BC

• All providers in Greenville, SC
• Interventional Pain Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.