NPIMap

Organization Active NPI

Pain Specialists of Charleston

  • Interventional Pain Medicine Physician
  • Pawleys Island, SC
National Provider Identifier
1376218404
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN SPECIALISTS OF CHARLESTON
Practice address
150 Wall St Ste a
Pawleys Island, SC 29585-5000
Phone
(843) 408-0386
NPI assigned
Aug 11, 2021
Organization subpart
Yes
Parent organization
PAIN SPECIALISTS OF CHARLESTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Edward Tavel, MDNPI 1508833468
Title
Medical Director
Phone
(843) 408-0386

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

150 Wall St Ste a
Pawleys Island, SC 29585-5000

Mailing address

2695 Elms Plantation Blvd Ste a
North Charleston, SC 29406-7132
Phone (843) 818-1181

Other names 1

  • PAIN & NEUROLOGY SPECIALISTS OF PAWLEY'S ISLAND Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pain Specialists Charleston4 organizations share this tax ID, including this one
Part of
Pain Specialists Charleston

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 Monckton Blvd
Columbia, SC 29206
Phone (803) 252-4900

2791 Tricom St
Ste B
North Charleston, SC 29406
Phone (843) 818-1181

150 Wall St
Ste A
Pawleys Island, SC 29585
Phone (843) 408-0386

Practitioners 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1376218404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ELMS PLANTATION BLVD STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067132",
            "telephone_number": "843-818-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WALL ST STE A",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295855000",
            "telephone_number": "843-408-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SPECIALISTS OF CHARLESTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN SPECIALISTS OF CHARLESTON",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "TAVEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "843-408-0386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, 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": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PAIN & NEUROLOGY SPECIALISTS OF PAWLEY'S ISLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawleys Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.