Active NPI
Carolinas Center for Advanced Management of Pain, LLC
- Interventional Pain Medicine Physician
- Spartanburg, SC
National Provider Identifier
1750304002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, LLC
- Practice address
- 279 E Kennedy St
Spartanburg, SC 29302-1912 - Phone
- (864) 583-0053
- Fax
- (864) 583-0390
- NPI assigned
- Jul 26, 2006
- Last updated
- Dec 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Haasis
- Title
- Owner/MD
- Phone
- (864) 583-0053
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | ||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NU | ||
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary | |
| Physical Therapist | 225100000X | NU |
Addresses
Primary practice location
279 E Kennedy St
Spartanburg, SC 29302-1912
Mailing address
PO Box 6130
Spartanburg, SC 29304-6130
Phone (864) 583-0053
Other practice location 1
1506 N Fant St
Anderson, SC 29621-4708
Phone (864) 260-6995
Other practice location 2
7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Phone (803) 791-7175
Other practice location 3
1998 Hendersonville Rd Ste 45
Asheville, NC 28803-2192
Phone (828) 232-1955
Other practice location 4
10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone (864) 295-6399
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP1456 | Medicaid | SC | |
| 013KE | Other | NC | BCBS |
| 890652K | Medicaid | NC |
Other names 1
- CCAMP Carolina Pain Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NC
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1998 Hendersonville Rd
Ste 45
Asheville, NC 28803
Phone (704) 829-4728
69 McDowell St
Asheville, NC 28801
Phone (288) 253-5878
2569 Pembroke Rd
Gastonia, NC 28054
Phone (704) 829-4728
400 N Fant St
Ste E
Anderson, SC 29621
Phone (864) 224-8883
Practitioners & affiliated clinicians
Practitioners 29
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.
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1134497159
-
- Medical Physician Assistant
- Greenville, SC
- NPI 1902276801
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1073104790
-
- Family Nurse Practitioner
- Anderson, SC
- NPI 1053928903
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1093470296
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1952008351
-
- Family Nurse Practitioner
- Columbia, SC
- NPI 1215649660
-
- Family Nurse Practitioner
- Greenville, SC
- NPI 1326434283
-
- Interventional Pain Medicine Physician
- Spartanburg, SC
- NPI 1154421915
NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1750304002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6130",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293046130",
"telephone_number": "864-583-0053",
"fax_number": "864-583-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 E KENNEDY ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021912",
"telephone_number": "864-583-0053",
"fax_number": "864-583-0390"
}
],
"practiceLocations": [
{
"address_1": "1506 N Fant St",
"address_purpose": "LOCATION",
"city": "Anderson",
"state": "SC",
"postal_code": "296214708",
"country_code": "US",
"telephone_number": "864-260-6995",
"fax_number": "864-884-9909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7021 Saint Andrews Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292121177",
"country_code": "US",
"telephone_number": "803-791-7175",
"fax_number": "803-791-7176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1998 Hendersonville Rd Ste 45",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288032192",
"country_code": "US",
"telephone_number": "828-232-1955",
"fax_number": "828-232-0329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Enterprise Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296153554",
"country_code": "US",
"telephone_number": "864-295-6399",
"fax_number": "864-295-2337",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "HAASIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "864-583-0053",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP1456",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "013KE",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890652K",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CCAMP Carolina Pain Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "CCAMP Carolina Pain Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.