Carolina Pain Management Center

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

14324 Issued in SC

Legal business name

CAROLINA PAIN MANAGEMENT CENTER

Practice address

4211 Trolley Line Rd
Aiken, SC 29801-2749

Phone

(803) 642-5050

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 2008By 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

Dr. William E Durrett Jr., M.D.NPI 1215946538

Title

President

Phone

(803) 642-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• William Edward Durrett Jr., M.D

  • Interventional Pain Medicine Physician
  • Aiken, SC
  • NPI 1215946538
  NPD (past) Authorized official

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1851566186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2603",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298022603",
            "telephone_number": "803-642-5050",
            "fax_number": "803-642-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 TROLLEY LINE RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012749",
            "telephone_number": "803-642-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "DURRETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-642-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "14324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143240",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Musculoskeletal Institute PA
• Carolina Musculoskeletal Institute PA
• Carolina Nuclear Group, LLC
• Carolina Orthopedics LLC
• Carolina Otolaryngology Institute
• Carolina Podiatric Medical Associates, P.a.
• Carolina Psychiatric Associates Inc.
• Carolina Radiological Associates, LLC
• Carolina Wellness and Health, LLC
• Tijuana Davis Carolina

• Anesthesiology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.