Organization Active NPI

CSP Enterprises LLC

Doing business as Carolina Spine and Pain Associates

  • Pain Medicine Physician
  • Easley, SC
National Provider Identifier
1821637760
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CSP ENTERPRISES LLC
Doing business as
Carolina Spine and Pain Associates
Practice address
115 Brushy Creek Rd
Easley, SC 29642
Phone
(864) 635-0376
Fax
(864) 442-6848
NPI assigned
Dec 23, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Mr. Blake Christian Leche, MDNPI 1770512972
Title
Authorized Official
Phone
(864) 635-0376

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Family Nurse Practitioner 363LF0000X
Anesthesiology Physician 207L00000X
Pain Medicine (Anesthesiology) Physician 207LP2900X
Emergency Medicine Physician 207P00000X
Family Medicine Physician 207Q00000X
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642

Mailing address

PO Box 1315
Easley, SC 29641
Phone (864) 635-0376

Other practice location 1

1923 E Main St
Duncan, SC 29334-8885
Phone (864) 635-0376

Other practice location 2

100 W Liberty St
Sumter, SC 29150-5142
Phone (864) 635-0376

Other practice location 3

718 Lafayette Ave
Camden, SC 29020-3522
Phone (864) 635-0376

Other practice location 4

321 S Lake Dr
Lexington, SC 29072-3447
Phone (864) 635-0376

Other practice location 5

11 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 635-0376

Other identifiers 1

IdentifierTypeStateIssuer
GP9522MedicaidSC

Other names 1

  • Carolina Spine and Pain Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200204001672 SC Part B Supplier - Clinic/Group Practice 3072949320 Receives reassigned benefits from 12 practitioners
Practice locations: Camden, SC; Duncan, SC; Easley, SC; Greenville, SC; Lexington, SC; Sumter, SC

National Provider Directory

National Provider Directory

Locations

718 Lafayette Ave
Camden, SC 29020
Phone (803) 424-5879

1923 E Main St
Duncan, SC 29334
Phone (864) 635-0376

312 S LK Dr
Lexington, SC 29072

Practitioners & affiliated clinicians

Practitioners 12

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": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1821637760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1315",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29641",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 E Main St",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "SC",
            "postal_code": "293348885",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 W Liberty St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291505142",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "SC",
            "postal_code": "290203522",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "321 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723447",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Memorial Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054407",
            "country_code": "US",
            "telephone_number": "864-635-0376",
            "fax_number": "864-442-6848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CSP ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2025-07-28",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "LECHE",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "864-635-0376",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9522",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Spine and Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolina Spine and Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.