Organization Active NPI

Carolina Healthchoice of Greenville, LLC

  • Interventional Pain Medicine Physician
  • Greenville, SC
National Provider Identifier
1245744937
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CAROLINA HEALTHCHOICE OF GREENVILLE, LLC
Practice address
274 Commonwealth Dr Ste B
Greenville, SC 29615-4872
Phone
(864) 478-8580
Fax
(864) 478-8520
NPI assigned
Nov 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Amber Compton
Title
Practice Manager
Phone
(803) 764-0464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

274 Commonwealth Dr Ste B
Greenville, SC 29615-4872

Mailing address

1494 Lake Murray Blvd FL 2
Columbia, SC 29212-8697
Phone (803) 764-0464

National Provider Directory

National Provider Directory

Locations

1494 Lake Murray Blvd
Fl 2
Columbia, SC 29212
Phone (803) 764-1230

274 Commonwealth Dr
Greenville, SC 29615
Phone (864) 286-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1245744937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 LAKE MURRAY BLVD FL 2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128697",
            "telephone_number": "803-764-0464",
            "fax_number": "803-764-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 COMMONWEALTH DR STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154872",
            "telephone_number": "864-478-8580",
            "fax_number": "864-478-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCHOICE OF GREENVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-764-0464"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "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 Dec 19, 2018; 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.