Carolina Pain and Wellness Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

CAROLINA PAIN AND WELLNESS INC

Practice address

4420 Oleander Dr Ste 101
Myrtle Beach, SC 29577-5720

Phone

(843) 428-6879

Fax

(888) 366-8693

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Ela S Clarida

Title

Operations Manager

Phone

(843) 222-5395

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1467031419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775720",
            "telephone_number": "843-428-6879",
            "fax_number": "888-366-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 OLEANDER DR STE 101",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775720",
            "telephone_number": "843-428-6879",
            "fax_number": "888-366-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "CLARIDA",
        "authorized_official_first_name": "ELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "843-222-5395"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hope@carolinapainandwellness.com",
            "affiliation": "N",
            "address_1": "4420 Oleander Dr Ste 101",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295775720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolina Health Pharmacy LLC
• Carolina Orthopaedic Specialists
• Carolina Orthotics & Prosthetics of MB LLC
• Carolina Orthotics & Prosthetics of Myrtle Beach LLC
• Carolina Orthotics and Prosthetics LLC
• Carolina Pediatric Therapy
• Carolina Pediatric Therapy Inc
• Carolina Regional Cancer Center LLC
• Carolina Regional Surgery Center. LTD (Grande Dunes Surgery Center)
• Carolina Rheumatology & Neurology Assoc.

• Addiction Medicine (Family Medicine) Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Addiction Medicine (Family Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.