Organization Active NPI

Carolina Medical Spas PA

Doing business as Purewellness Spas

  • Pain Medicine (Anesthesiology) Physician
  • Fort Mill, SC
National Provider Identifier
1255366985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CAROLINA MEDICAL SPAS PA
Doing business as
Purewellness Spas
Practice address
145 Lake Point Dr
Fort Mill, SC 29708-7870
Phone
(803) 389-5961
NPI assigned
Jul 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gisele J Girault, MD
Title
President
Phone
(980) 297-7873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X NH Primary

Addresses

Primary practice location

145 Lake Point Dr
Fort Mill, SC 29708-7870

Mailing address

8035 Providence Rd
Ste 340
Charlotte, NC 28277-9716
Phone (980) 297-7873

Other names 1

  • PUREWELLNESS SPAS Doing business as

National Provider Directory

National Provider Directory

Locations

8035 Providence Rd
Ste 340
Charlotte, NC 28277
Phone (704) 542-3988

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255366985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 PROVIDENCE RD",
            "address_2": "STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282779716",
            "telephone_number": "980-297-7873",
            "fax_number": "980-297-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LAKE POINT DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087870",
            "telephone_number": "803-389-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA MEDICAL SPAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIRAULT",
        "authorized_official_first_name": "GISELE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-297-7873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUREWELLNESS SPAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.