Charleston Pain Relief Center

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

DO252 Issued in SC

Legal business name

CHARLESTON PAIN RELIEF CENTER

Practice address

2294 Otranto Rd
North Charleston, SC 29406-9603

Phone

(843) 225-2550

Fax

(843) 225-2590

NPI assigned

Feb 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Angela Tharnish Jenkins, D.C.

Title

Clinic Director

Phone

(843) 225-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kayla Blann, FNP-C

  • Nurse Practitioner
  • Charleston, SC
  • NPI 1902650120
  Medicare reassignment Care Compare group NPD
• Nichole D Sears-Quinn, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1548236516
  Medicare reassignment Care Compare group NPD
• Angela Christine Tharnish, D.C.

  • Chiropractor
  • North Charleston, SC
  • NPI 1154529345
  Medicare reassignment Care Compare group NPD
• Drake G Bechtel, DC

  • Chiropractor
  • Winter Haven, FL
  • NPI 1457156978

  SC

  Medicare reassignment Care Compare group NPD
• Gerald C Renato, DC

  • Chiropractor
  • Bluffton, SC
  • NPI 1497969349
  Medicare reassignment Care Compare group
• Jennifer Lynn Talley, FNP-C

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1407229230
  Medicare reassignment NPD

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1699047746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069603",
            "telephone_number": "843-225-2550",
            "fax_number": "843-225-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 OTRANTO RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069603",
            "telephone_number": "843-225-2550",
            "fax_number": "843-225-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON PAIN RELIEF CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "THARNISH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "843-225-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "DO252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charleston Medical Investors, LLC
• Charleston Nephrology Associates, LLC
• Charleston Orphan House
• Charleston Orphan House, Inc
• Charleston Orphan House, Inc.
• Charleston Pediatric Dentistry, P.a.
• Charleston Pediatric Rehabilitation
• Charleston Physicians for Women PLLC
• Charleston Specialty Rehab Institute Limited Partnership
• Charleston Surgical Consultants, LLC

• Physical Medicine & Rehabilitation Physician in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Physical Medicine & Rehabilitation Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.