NPIMap

Organization Active NPI

Piedmont Comprehensive Pain Management Group LLC

  • Interventional Pain Medicine Physician
  • Greenville, SC
National Provider Identifier
1295159705
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC
Practice address
3 Saint Francis Dr
Suite 480
Greenville, SC 29601-3971
Phone
(864) 269-4416
Fax
(864) 269-8989
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Eric P Loudermilk, MDNPI 1225075088
Title
Director
Phone
(864) 269-4416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3 Saint Francis Dr
Suite 480
Greenville, SC 29601-3971

Mailing address

100 Healthy Way
Suite 1260
Anderson, SC 29621-7915
Phone (864) 225-3551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000086 SC Part B Supplier - Clinic/Group Practice 7012920945 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anderson, SC; Greenville, SC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3 Saint Francis Dr
Ste 480
Greenville, SC 29601
Phone (864) 269-0959

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1295159705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY",
            "address_2": "SUITE 1260",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-225-3551",
            "fax_number": "864-328-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SAINT FRANCIS DR",
            "address_2": "SUITE 480",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296013971",
            "telephone_number": "864-269-4416",
            "fax_number": "864-269-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT COMPREHENSIVE PAIN MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "LOUDERMILK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-269-4416",
        "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 Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.