NPIMap

Organization Active NPI

Trident Pain Center LLC

  • Pain Medicine Physician
  • West Columbia, SC
National Provider Identifier
1659915445
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
TRIDENT PAIN CENTER LLC
Practice address
176 McSwain Dr
West Columbia, SC 29169-4825
Phone
(843) 797-3636
Fax
(843) 797-3637
NPI assigned
Nov 5, 2019
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TRIDENT PAIN CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Joseph Edward NolanNPI 1679576813
Title
MD
Phone
(843) 797-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

176 McSwain Dr
West Columbia, SC 29169-4825

Mailing address

9267 Medical Plaza Dr Ste G
Charleston, SC 29406-9139
Phone (843) 797-3636

National Provider Directory

National Provider Directory
Part of
Trident Pain Center LLC

Locations

408 E DeKalb St
Ste A
Camden, SC 29020
Phone (770) 213-8376

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1659915445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9267 MEDICAL PLAZA DR STE G",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069139",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PAIN CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIDENT PAIN CENTER LLC",
        "enumeration_date": "2019-11-05",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "843-797-3636",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.