Carolina Interventional Pain Institute, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC

Doing business as

Carolina Interventional Pain Institute, LLC

Practice address

2611 Forest Dr Ste 100
Columbia, SC 29204-2371

Phone

(803) 779-3263

NPI assigned

Jan 23, 2018

Last updated

Sep 10, 2026By 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

Christina B Smoak

Title

Credentialing/Billing Admin

Phone

(803) 779-3263

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carolina Interventional Pain Institute, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Carolina Interventional Pain InstituteCCN 42C0001090

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Alexandra Anderson

  • Physician Assistant
  • Columbia, SC
  • NPI 1467171207
  NPD (past)
• Donen Davis, M.D.

  • Plastic Surgery Physician
  • Columbia, SC
  • NPI 1972509925
  NPD (past)
• Gavin Wade Davis, M.D.

  • Ophthalmology Physician
  • Lexington, SC
  • NPI 1215161153
  NPD (past)
• Leigh Norris Davis, APRN

  • Nurse Practitioner
  • Columbia, SC
  • NPI 1801511787
  NPD (past)
• Sydnie Pye, PA

  • Physician Assistant
  • Columbia, SC
  • NPI 1972291490
  NPD (past)
• Alan Rejonis, MD

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1366949075
  NPD (past)
• Ezra B Riber, M.D.

  • Interventional Pain Medicine Physician
  • Columbia, SC
  • NPI 1487610697
  NPD (past)
• Neeraj Sriram, MD

  • Pain Medicine (Anesthesiology) Physician
  • Columbia, SC
  • NPI 1467849943
  NPD (past)
• Jennifer Dianne Stanislaus, M.D.

  • Anesthesiology Physician
  • Columbia, SC
  • NPI 1871722892
  NPD (past)

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1629576848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042371",
            "telephone_number": "803-779-3263",
            "fax_number": "803-779-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 FOREST DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042371",
            "telephone_number": "803-779-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "SMOAK",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING ADMIN",
        "authorized_official_telephone_number": "803-779-3263"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC123",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Interventional Pain Institute, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.