Palmetto Spine & Pain Care Consultants, LLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PALMETTO SPINE & PAIN CARE CONSULTANTS, LLC

Practice address

4736 Highway 17 Byp S
Myrtle Beach, SC 29588-5616

Phone

(843) 213-2039

Fax

(843) 293-2454

NPI assigned

Sep 10, 2014

Last updated

May 7, 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

Stephen E Boatwright, MDNPI 1538157334

Title

Owner

Phone

(843) 798-9686

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Palmetto Spine and Pain Care Consultants, LLC

  • Durable Medical Equipment & Medical Supplies
  • Myrtle Beach, SC
  • NPI 1871987990

  8527381540

  Same PAC ID

Locations

Practitioners 5

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.

• Stephen E Boatwright, MD

  • Pain Medicine (Anesthesiology) Physician
  • Myrtle Beach, SC
  • NPI 1538157334
  Medicare reassignment Care Compare group Authorized official
• Douglas Todd Vick, PA-C

  • Physician Assistant
  • Sunset Beach, NC
  • NPI 1043385123

  SC

  Medicare reassignment Care Compare group NPD
• Michael Brent Graham

  • Physician Assistant
  • Murrells Inlet, SC
  • NPI 1336662964
  Medicare reassignment Care Compare group
• James R Carroll, MD

  • Family Medicine Physician
  • Mullins, SC
  • NPI 1609816735
  NPD (past)
• William A King, MD

  • Family Medicine Physician
  • Seneca, SC
  • NPI 1659352003
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1679974588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885616",
            "telephone_number": "843-213-2039",
            "fax_number": "843-293-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 HIGHWAY 17 BYP S",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885616",
            "telephone_number": "843-213-2039",
            "fax_number": "843-293-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SPINE & PAIN CARE CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "BOATWRIGHT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-798-9686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP6742",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palmetto Imaging, Inc (Long Bay Diagnostic Imaging)
• Palmetto Imaging, Inc (Long Bay Diagnostic Imaging)
• Palmetto Medical Clinic LLC
• Palmetto OBGYN LLC
• Palmetto Sleep Lab LLC
• Palmetto Spine and Pain Care Consultants, LLC
• Palms Chiropractic LLC
• Heather Palomino
• Thomas A. Palya, P.T.
• Raiva Pandit, M.D.

• Pain Medicine (Anesthesiology) Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, 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 May 7, 2026; 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.