American Anesthesiology of North Carolina, PLLC
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Monroe, NC
NPI 1174817993 · NPPES record last updated May 23, 2025
Key facts
- NPI
- 1174817993
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- AMERICAN ANESTHESIOLOGY OF NORTH CAROLINA, PLLC
- Practice address
- 355 Venus St
Monroe, NC 28112-4025 - Phone
- (980) 993-7230
- Fax
- (704) 291-9508
- NPI assigned
- Jun 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Edgar Garrabrant, MD
- Title
- President/Owner
- Phone
- (516) 945-3000
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 2
Practitioners 396
-
Catherine Jones Bordeaux, P.A.
-
Ageta Muco, PA-C
-
Laura A Justen, PA
-
Leslie Weed Baker, M.D.
-
Oksana Kantor, MD
-
Shawn Kruse, M.D.
-
John Nardiello, MD
-
Charles Rouse Clover, M.D.
-
Kevin Francis Costello, M.D.
-
William M Evans, MD
-
Lori Foster, NP
-
Jenna Walters Lambeth, M.D.
-
Richard In Park, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031118000860 | NC | Part B Supplier - Clinic/Group Practice | 2961316450 |
Receives reassigned benefits from 311 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20110928000002 | SC | Part B Supplier - Clinic/Group Practice | 2961316450 |
Receives reassigned benefits from 14 practitioners Practice locations: Rock Hill, SC; Fort Mill, SC |
National Provider Directory
Locations
101 E Wt Harris Blvd
Ste 4001
Charlotte, NC 28262
Phone (704) 863-5401
927 East Blvd
Charlotte, NC 28203
Phone (704) 348-1855
2134 14th Avenue Cir NW
Hickory, NC 28601
Phone (828) 580-2129
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | Yes | ||
| Pain Medicine Physician |
208VP0000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
355 Venus St
Monroe, NC 28112-4025
Mailing address
1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 208-4250
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB1276 | Other | NC | RAILROAD-MEDICARE |
| 025AG | Other | NC | BCBSNC |
| DS7032 | Other | SC | RAILROAD-MEDICARE |
| QPB692 | Medicaid | SC | |
| 5918189 | Medicaid | NC |
Other names
- Southeast Pain Care
Other providers in Monroe, NC
- Monica Alvarez
- Ice Amani
- Amazing Love
- Amazing Love
- Glen Ambrose
- American Homepatient, Inc.
- Amron Home Care Agency
- Amron Home Care Agency, Inc.
- Amron Home Care Agency, Inc.
- Amron Homecare Agency, Inc.
All providers in Monroe, NC · Pain Medicine (Anesthesiology) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.