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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- CAROLINA INTERVENTIONAL PAIN ASSOCIATES, PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gisele J. Girault, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.
-
- Interventional Pain Medicine Physician
- Fort Mill, SC
- NPI 1447241344
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
- Carolina Community Maternity Center
- Carolina Endocrinology & Diabetes, LLC
- Carolina Family Eyecare
- Carolina Integrated Medicine LLC
- Carolina Interventional Pain Associates, P.a (Interventional Pain Partners)
- Carolina Medical Partners PLLC
- Carolina Medical Spas PA (Purewellness Spas)
- Carolina Oms LLC
- Carolina Oral & Maxillofacial Surgery
- Carolina Orthopaedic Surgery Associates, P.a.
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.