Southeastern Regenerative Institute

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SOUTHEASTERN REGENERATIVE INSTITUTE

Practice address

15 Moss Creek VLG
Hilton Head Island, SC 29926-1105

Phone

(803) 642-6500

Fax

(803) 642-6472

NPI assigned

Nov 29, 2022

Last updated

Nov 29, 2022By 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

Dr. William Edward Durrett Jr., MDNPI 1215946538

Title

Co-Owner

Phone

(803) 642-6500

Specialties & licenses 2

Addresses

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.

• William Edward Durrett Jr., M.D

  • Interventional Pain Medicine Physician
  • Aiken, SC
  • NPI 1215946538
  NPD Authorized official

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1205546454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "803-642-6500",
            "fax_number": "803-642-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOSS CREEK VLG",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299261105",
            "telephone_number": "803-642-6500",
            "fax_number": "803-642-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN REGENERATIVE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "803-642-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carole Lee Sorg, PSY.D.
• South Carolina Cancer Specialist, P.a.
• South Carolina Cancer Specialist, P.a.
• South Carolina Health Services, Inc
• South Carolina Therapy Group LLC
• Southern MRI Hilton Head
• Stacy Lynn Spohn, OTR/L, CHT
• Ravindra Prakash Srivastava, MD
• Scott Alan Stanas
• John M Stanko, RPH

• Pain Medicine (Anesthesiology) Physician in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Pain Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.