Southern Coast Pain Specialists, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

35457 Issued in SC

Legal business name

SOUTHERN COAST PAIN SPECIALISTS, LLC

Practice address

1000 Pine St W
Varnville, SC 29944-4750

Phone

(843) 476-4702

Fax

(843) 476-4290

NPI assigned

Jan 30, 2018

Last updated

Feb 13, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN COAST PAIN SPECIALISTS, LLCAs reported in NPPES

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

Authorized official

Name

Walter B.J. Schuyler, MDNPI 1699936914

Title

Owner

Phone

(843) 476-4702

Specialties & licenses 1

Addresses

Part of

Southern Coast Pain Specialists LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southern Coast Pain Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Beaufort, SC
  • NPI 1336653708
  NPPES parent name

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.

• Walter B.J. Schuyler III, M.D.

  • Pain Medicine Physician
  • Beaufort, SC
  • NPI 1699936914
  NPD Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1619475274",
    "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": "1000 PINE ST W",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299444750",
            "telephone_number": "843-476-4702",
            "fax_number": "843-476-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN COAST PAIN SPECIALISTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN COAST PAIN SPECIALISTS, LLC",
        "enumeration_date": "2018-01-30",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "SCHUYLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B.J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-476-4702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "35457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie James Sauls Jr., DDS
• Neal L. Shealy, M.D.
• Sharon Lynn W Shealy, CFNP
• Jeana Smith, RD
• South Carolina Dhec (Diabetes Education Program Region VIII)
• Southern Coast Specialists, LLC
• State of South Carolina (SC Dhec)
• Rebecca Swofford, PA-C
• Theresa H. Taylor
• Deborah Toa, LISW, MSW

• Pain Medicine (Anesthesiology) Physician in Varnville, SC
• Providers in Varnville, 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 Feb 13, 2019; 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.