Individual provider Active NPI

Timothy Michael Zgleszewski, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • North Charleston, SC
National Provider Identifier
1609833516
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
22912 Issued in SC
Practice address
2679 Lake Park Dr
North Charleston, SC 29406-9100
Phone
(843) 573-9997
Fax
(803) 470-4715
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 78001 GA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 22912 SC Primary
Interventional Pain Medicine Physician 208VP0014X 78001 GA

Addresses

Primary practice location

2679 Lake Park Dr
North Charleston, SC 29406-9100

Mailing address

PO Box 7227
West Columbia, SC 29171-7227
Phone (803) 218-9886

Other practice location 1

108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 225-5597

Other identifiers 2

IdentifierTypeStateIssuer
400863MedicaidSC
T71703MedicaidSC

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
I20110818000640 SC Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5698679561 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

108 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 225-5597

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Pain Management PC CurrentSince Nov 5, 2024 Accepting new patients
Active Life Health of Columbia, LLC CurrentSince Nov 1, 2024 Accepting new patients
Vitality Medical Centers of Charleston Inc CurrentSince Jul 14, 2020 Accepting new patients
East Coast Functional Medicine LLC CurrentSince Jan 10, 2022 Accepting new patients
Active Life Health of Columbia, LLC CurrentSince Nov 1, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Interventional Pain Medicine Past Accepting new patients
Palmetto Health Alliance Interventional Pain Medicine Past Accepting new patients
Northeastern Rehabilitation Associates, PC Pain Medicine PastSince Feb 13, 2023 Accepting new patients

Locations

108 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-5597

2000 Center Point Rd
Ste 2360
Columbia, SC 29210
Phone (803) 233-5500

2679 Lake Park Dr
North Charleston, SC 29406
Phone (803) 218-9886

300 N Cedar St
Ste E
Summerville, SC 29483
Phone (843) 469-7222

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 and National Provider Directory roles.

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1609833516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7227",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291717227",
            "telephone_number": "803-218-9886",
            "fax_number": "803-470-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 LAKE PARK DR",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069100",
            "telephone_number": "843-573-9997",
            "fax_number": "803-470-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Montgomery Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213334",
            "country_code": "US",
            "telephone_number": "864-225-5597",
            "fax_number": "864-516-8984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZGLESZEWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "78001",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "22912",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "78001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400863",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T71703",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.