Carolina Interventional Pain Associates, P.a

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

CAROLINA INTERVENTIONAL PAIN ASSOCIATES, P.A

Practice address

342 Patricia Lane
Suite 102
Fort Mill, SC 29708

Phone

(803) 802-7100

Fax

(803) 791-9200

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gisele Jacqueline Girault, MDNPI 1447241344

Title

President

Phone

(803) 802-7100

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 2

• INTERVENTIONAL PAIN PARTNERS Doing business as
• Pain Medicine Specialist Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9793/brand/1/csg/1/fhir/r4

Practitioners 9

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

• Gisele J Girault, MD

  • Interventional Pain Medicine Physician
  • Fort Mill, SC
  • NPI 1447241344
  Medicare reassignment Care Compare group Authorized official
• Ashley Wiest, DNP, FNP-BC

  • Family Nurse Practitioner
  • Manassas Park, VA
  • NPI 1861122707

  SC

  Medicare reassignment Care Compare group NPD
• Sheila D Belton-Gaymon, DNP, APRN, FNP B-C

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1891879326
  Medicare reassignment NPD
• Amy Brown, FNP

  • Family Nurse Practitioner
  • Fort Mill, SC
  • NPI 1790320455
  Medicare reassignment NPD
• Angela Paulette Diemont, APRN

  • Family Nurse Practitioner
  • West Columbia, SC
  • NPI 1063693950
  Medicare reassignment NPD
• Austin Charles Kuhn, MSW, PHD

  • Clinical Social Worker
  • Elgin, SC
  • NPI 1245794171
  Medicare reassignment NPD
• Jane Elizabeth Oei, RN, BS, MSN, FNP-BC

  • Nurse Practitioner
  • Rock Hill, SC
  • NPI 1790452001
  Medicare reassignment NPD
• Regina Catrice Michel, MSN,APRN, FNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1275102717

  SC

  Medicare reassignment NPD
• Chad Fredrick Staples, PA-C

  • Physician Assistant
  • Lancaster, SC
  • NPI 1447842943
  Medicare reassignment

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1275568149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 WEST, SUITE 1010-319",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-802-7100",
            "fax_number": "803-791-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 PATRICIA LANE",
            "address_2": "SUITE 102",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "29708",
            "telephone_number": "803-802-7100",
            "fax_number": "803-791-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERVENTIONAL PAIN ASSOCIATES, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "GIRAULT",
        "authorized_official_first_name": "GISELE",
        "authorized_official_middle_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-802-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3866",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4369",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERVENTIONAL PAIN PARTNERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pain Medicine Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Community Maternity Center
• Carolina Community Maternity Center
• Carolina Endocrinology & Diabetes, LLC
• Carolina Family Eyecare
• Carolina Integrated Medicine LLC
• Carolina Interventional Pain Associates, PA
• Carolina Medical Partners PLLC
• Carolina Medical Spas PA
• Carolina Oms LLC
• Carolina Oral & Maxillofacial Surgery

• Pain Medicine (Anesthesiology) Physician in Fort Mill, SC
• Providers in Fort Mill, 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 Jun 22, 2020; 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.