Organization Active NPI

Carolina Physicians and Rehab, LLC.

  • Interventional Pain Medicine Physician
  • Greenville, SC
National Provider Identifier
1215630215
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CAROLINA PHYSICIANS AND REHAB, LLC.
Practice address
10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone
(888) 699-4188
Fax
(864) 335-9252
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Dr. Justin Kelby Hutcheson, MD
Title
Owner
Phone
(888) 699-4188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554

Mailing address

PO Box 26838
Greenville, SC 29616-1838
Phone (888) 699-4188

Other practice location 1

7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Phone (888) 699-4188

Other practice location 2

279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (888) 699-4188

National Provider Directory

National Provider Directory
Tax ID family
Carolina Physicians and Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1215630215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26838",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161838",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 201",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153554",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7021 Saint Andrews Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121177",
            "country_code": "US",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "279 E Kennedy St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021912",
            "country_code": "US",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA PHYSICIANS AND REHAB, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "KELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-699-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.