Advanced Pain Therapies, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED PAIN THERAPIES, LLC

Practice address

315 Churchill Rd
Hartsville, SC 29550-4015

Phone

(803) 749-8585

Fax

(803) 749-8909

NPI assigned

May 21, 2007

Last updated

Apr 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William T. Odom, MDNPI 1598717167

Title

President

Phone

(803) 724-7495

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• William Thomas Odom II, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Irmo, SC
  • NPI 1598717167
  Authorized official Same address or phone
• Jennifer Rish

  • Other Specialist/Technologist
  • Irmo, SC
  • NPI 1245773134
  NPD (past)
• Dana Taylor

  • Other Specialist/Technologist
  • Irmo, SC
  • NPI 1225571110
  NPD (past)
• Edward Alton Wallace, MD

  • Anesthesiology Physician
  • Conway, SC
  • NPI 1255486452
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1154539278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CHURCHILL RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504015",
            "telephone_number": "803-724-7495",
            "fax_number": "803-724-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CHURCHILL RD",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504015",
            "telephone_number": "803-749-8585",
            "fax_number": "803-749-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN THERAPIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-724-7495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zita Acuna Andreski, APRN FNP-C
• Frederick D Adams, CRNA
• Advance Medical, LLC
• Advanced Wellness Center
• Dawn Marie Alexander, RN
• Deborah Lynn Alexander, M.S., LPC, NCC, CACI
• Heather Alexander, RN
• Heather Deanna Alexander, FNP-C

• Specialist in Hartsville, SC
• Providers in Hartsville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.