NPIMap

Organization Active NPI

Carolinas Pain Institute, PA

Doing business as Carolinas Pain Institute

  • Pain Medicine Physician
  • Charlotte, NC
National Provider Identifier
1790305241
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CAROLINAS PAIN INSTITUTE, PA
Doing business as
Carolinas Pain Institute
Practice address
330 Billingsley Rd Ste 210
Charlotte, NC 28211-5055
Phone
(336) 765-6181
Fax
(336) 765-8492
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINAS PAIN INSTITUTE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Dr. Christopher Aaron Gilmore, MDNPI 1225245707
Title
Treasurer
Phone
(336) 765-6181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

330 Billingsley Rd Ste 210
Charlotte, NC 28211-5055

Mailing address

145 Kimel Park Dr Ste 330
Winston Salem, NC 27103-6972
Phone (336) 765-6181

Other names 1

  • Carolinas Pain Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000338 NC Part B Supplier - Clinic/Group Practice 0244218550 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlotte, NC; Winston Salem, NC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2215599Carolinas Pain Institute PA330 Billingsley Road Suite 210, Charlotte, NC 28211AccreditationOct 25, 2026

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Pain Institute PA2 organizations share this tax ID, including this one
Part of
Carolinas Pain Institute PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

131 Providence Rd
Ste 201
Charlotte, NC 28207
Phone (336) 765-6181

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1790305241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KIMEL PARK DR STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036972",
            "telephone_number": "336-765-6181",
            "fax_number": "336-765-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BILLINGSLEY RD STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115055",
            "telephone_number": "336-765-6181",
            "fax_number": "336-765-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PAIN INSTITUTE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINAS PAIN INSTITUTE, PA",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "336-765-6181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Pain Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.