Individual provider Active NPI

Gisele J Girault, MD

  • Interventional Pain Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1447241344
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
23340 Issued in SC
Practice address
342 Patricia LN Ste 102
Fort Mill, SC 29708-6608
Phone
(803) 802-7100
Fax
(803) 802-8378
NPI assigned
Oct 31, 2005
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 23340 SC
Pain Medicine (Anesthesiology) Physician 207LP2900X 23340 SC
Interventional Pain Medicine Physician 208VP0014X 23340 SC Primary

Addresses

Primary practice location

342 Patricia LN Ste 102
Fort Mill, SC 29708-6608

Mailing address

1750 Highway 160 West
Suite 101#319
Fort Mill, SC 29708-1759
Phone (803) 802-7100

Other identifiers 2

IdentifierTypeStateIssuer
GP3866MedicaidSC
T73364MedicaidSC

Other names 1

  • Mrs. Gisele J Girault Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040604000037 SC Practitioner - Interventional Pain Management 2961308242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Kansas City University of Physicians and Surgeons, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Medicine Specialists PAGroup PAC ID 6709217383, 4 clinicians
Carolina Interventional Pain Associates PAGroup PAC ID 6406838432, 2 clinicians

Practice addresses (Care Compare)

105 Office Park Rd
Columbia, SC 29223-5959
Phone (803) 791-9200

1750 Hwy 160 W
Suite 319
Fort Mill, SC 29708-8009

342 Patricia LN
Suite 102
Fort Mill, SC 29708-6608
Phone (803) 802-7100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23340SCMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Interventional Pain Associates, PA Current Accepting new patients
Zen Psychiatric Services PLLC PastSince Jun 1, 2024 Accepting new patients
Truman Medical Centers, Inc. Past Accepting new patients
Anesthesia Associates of Rock Hill, P.a. Past Accepting new patients
Palmetto Orthopaedic Clinic, PA Specialist PastSince Jan 1, 2004 Accepting new patients
Westport Anesthesia Services of Missouri, PC Past Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1447241344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 HIGHWAY 160 WEST",
            "address_2": "SUITE 101#319",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297081759",
            "telephone_number": "803-802-7100",
            "fax_number": "803-802-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 PATRICIA LN STE 102",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086608",
            "telephone_number": "803-802-7100",
            "fax_number": "803-802-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRAULT",
        "first_name": "GISELE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "23340",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "23340",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "23340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3866",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T73364",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GISELE",
            "last_name": "GIRAULT",
            "middle_name": "J",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.