Organization Active NPI

Carolina Interventional Pain Associates, PA

Doing business as Pain Medicine Specialists of Fort Mill

  • Non-Pharmacy Dispensing Site
  • Fort Mill, SC
National Provider Identifier
1427317411
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CAROLINA INTERVENTIONAL PAIN ASSOCIATES, PA
Doing business as
Pain Medicine Specialists of Fort Mill
Practice address
111 Clebourne St
Suite 130
Fort Mill, SC 29715-1758
Phone
(803) 802-7100
NPI assigned
May 10, 2012
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA INTERVENTIONAL PAIN ASSOCIATES, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Gisele J. Girault, MDNPI 1447241344
Title
President
Phone
(803) 802-7100

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
Non-Pharmacy Dispensing Site 332900000X NU Primary

Addresses

Primary practice location

111 Clebourne St
Suite 130
Fort Mill, SC 29715-1758

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 474-9809

Other names 1

  • Pain Medicine Specialists of Fort Mill Doing business as

National Provider Directory

National Provider Directory
Part of
Carolina Interventional Pain Associates PA

Practitioners & affiliated clinicians

Practitioners 1

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": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1427317411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLEBOURNE ST",
            "address_2": "SUITE 130",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297151758",
            "telephone_number": "803-802-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERVENTIONAL PAIN ASSOCIATES, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA INTERVENTIONAL PAIN ASSOCIATES, PA",
        "enumeration_date": "2012-05-10",
        "last_updated": "2015-10-05",
        "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": "803-802-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Medicine Specialists of Fort Mill",
            "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 Oct 5, 2015; 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.