Active NPI
Trident Pain Center LLC
- Pain Medicine (Anesthesiology) Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- TRIDENT PAIN CENTER LLC
- Practice address
- 1930 Charlie Hall Blvd
Charleston, SC 29414-5837 - Phone
- (843) 797-3636
- NPI assigned
- Oct 23, 2019
- Last updated
- Mar 18, 2024
- Organization subpart
- Yes
- Parent organization
- TRIDENT PAIN CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Edward Nolan, MD
- Title
- Owner
- Phone
- (843) 797-3636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
1930 Charlie Hall Blvd
Charleston, SC 29414-5837
Mailing address
9267 Medical Plaza Dr Ste G
North Charleston, SC 29406-9139
Phone (843) 797-3636
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2158132 | Trident Pain Center | Certificate of waiver | Nov 19, 2026 |
National Provider Directory
National Provider Directory- Part of
- Trident Pain Center LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Pain Medicine Physician
- N Charleston, SC
- NPI 1679576813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1124661194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9267 MEDICAL PLAZA DR STE G",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069139",
"telephone_number": "843-797-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 CHARLIE HALL BLVD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145837",
"telephone_number": "843-797-3636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIDENT PAIN CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TRIDENT PAIN CENTER LLC",
"enumeration_date": "2019-10-23",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-797-3636",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Trident Medical Center, LLC (HCA Healthcare Trident Hospital)
- Trident Medical Center, LLC (HCA Healthcare Trident Hospital)
- Trident Medical Center, LLC (HCA Healthcare Trident Hospital)
- Trident Medical Services D/B/a Trident Senior Health Center (Trident Senior Health Center)
- Trident Neonatology Services LLC
- Trident Senior Health Center
- Trident Vision Center Inc
- Mary Victoria Trimble, CRNA
- Trinity Mission of Charleston, LLC (Trinity Mission Health & Rehab of Charleston)
- Samuel Vance Tripp, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.