Pain Institute of Charleston, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN INSTITUTE OF CHARLESTON, LLC

Practice address

1014 Saint Andrews Blvd Ste 210a
Charleston, SC 29407-7177

Phone

(843) 805-2628

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Jonathan Parks Gardner, MD

Title

Owner

Phone

(843) 805-2628

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1346821766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 SAINT ANDREWS BLVD STE 210A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077177",
            "telephone_number": "843-805-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN INSTITUTE OF CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PARKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-805-2628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole L. Pages, PA
• Donald R Pagley, CRNA
• Sara Mullins Paglio, CRNA
• Abigail Laylah Pahz
• Gurpur Shashidhar Pai, MD
• Amelia Katelyn Paine
• Emily Painter, RBT
• John Moss Painter
• Amanjot Singh Paintlia, MD
• Mary Loring Pait, M.P.T.

• Pain Medicine (Anesthesiology) Physician in Charleston, SC
• Providers in Charleston, 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 Jan 7, 2022; 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.