Southern Coast Spine and Pain Specialists LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

SOUTHERN COAST SPINE AND PAIN SPECIALISTS LLC

Practice address

1055 Ribaut Rd Ste 30
Beaufort, SC 29902-5447

Phone

(843) 476-4702

Fax

(843) 476-4290

NPI assigned

Jan 25, 2022

Last updated

Mar 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter BJ Schuyler III, MDNPI 1699936914

Title

Owner

Phone

(843) 476-4702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Practitioners 7

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.

• Walter B.J. Schuyler III, M.D.

  • Pain Medicine Physician
  • Beaufort, SC
  • NPI 1699936914
  Medicare reassignment Care Compare group NPD Authorized official
• Casey Anna Wetherell, PA

  • Medical Physician Assistant
  • Summerville, SC
  • NPI 1841052008
  Medicare reassignment Care Compare group NPD
• Linda Michelle Hubbard

  • Medical Physician Assistant
  • Beaufort, SC
  • NPI 1942348859
  Medicare reassignment Care Compare group
• Devin Scott Reed, MD

  • Pain Medicine (Anesthesiology) Physician
  • Oklahoma City, OK
  • NPI 1427549591

  SC

  Medicare reassignment NPD
• Mary Emily Moran Harris, PA

  • Physician Assistant
  • Summerville, SC
  • NPI 1376154997
  Medicare reassignment
• Mary Hunter Stoddard, PA

  • Physician Assistant
  • Beaufort, SC
  • NPI 1659950491
  Medicare reassignment
• Donna Flaherty, PA-C

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1841440187

  SC

  Medicare reassignment

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1508518069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIBAUT RD STE 30",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025447",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 N Cedar St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836407",
            "country_code": "US",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Elm St W",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "SC",
            "postal_code": "299242731",
            "country_code": "US",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Okatie Ctr Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bluffton",
            "state": "SC",
            "postal_code": "299097544",
            "country_code": "US",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN COAST SPINE AND PAIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "SCHUYLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "BJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-476-4702",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Carolina Dept of Mental Health Accounting Office
• South Carolina Dhec (Low Country CRS)
• William South, RPH
• Southern Coast Pain Specialists
• Southern Coast Specialists, LLC
• Southern Home Care Services, Inc. (ResCare HomeCare)
• Patrick Spado, RPH
• William L. Spearman, MD
• Marian Spina, COTA
• Ralee Spooner, DMD

• Pain Medicine (Anesthesiology) Physician in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Pain Medicine (Anesthesiology) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.