Carolina Spine & Pain Center, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

MD-0606992-1 Issued in PA

Legal business name

CAROLINA SPINE & PAIN CENTER, PLLC

Practice address

170 Medical Park Rd
Suite 310
Mooresville, NC 28117-8540

Phone

(704) 360-2260

Fax

(704) 360-2274

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mark C Hines, M.D.NPI 1790773000

Title

President

Phone

(704) 360-2260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

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.

• Mark C Hines, MD

  • Interventional Pain Medicine Physician
  • Mooresville, NC
  • NPI 1790773000
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1194914655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD",
            "address_2": "SUITE 310",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178540",
            "telephone_number": "704-360-2260",
            "fax_number": "704-360-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD",
            "address_2": "SUITE 310",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178540",
            "telephone_number": "704-360-2260",
            "fax_number": "704-360-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPINE & PAIN CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-360-2260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "PA",
            "license": "MD-0606992-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Ear, Nose & Throat Head and Neck Surgery Center, P.a.
• Carolina Family Medicine & Wellness
• Carolina Foot & Ankle of Huntersville, PC
• Carolina Hearing and Tinnitus, PC
• Carolina Pain and Weight Loss
• Carolina Vascular Specialists, PA
• Carolina Vein Associates, PLLC
• Carolinas Fertility Institute, P.a.
• Carolinas Physicians Network Inc (Atrium Health Women's Care One Health OB GYN)
• Carolinas Physicians Network Inc (Mooresville Family Medicine)

• Interventional Pain Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Interventional Pain Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.