Organization Active NPI

Carolinas Center for Advanced Management of Pain PA

  • Interventional Pain Medicine Physician
  • Anderson, SC
National Provider Identifier
1851630610
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
18437 Issued in SC
Legal business name
CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN PA
Practice address
1506 N Fant St
Anderson, SC 29621-4708
Phone
(864) 260-6995
Fax
(864) 260-6996
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Jan Cash
Title
Practice Manager
Phone
(864) 583-0053

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 293 SC
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 27788 SC
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 18437 SC Primary

Addresses

Primary practice location

1506 N Fant St
Anderson, SC 29621-4708

Mailing address

PO Box 6130
Spartanburg, SC 29304-6130
Phone (864) 583-0053

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1851630610",
    "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": "1506 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214708",
            "telephone_number": "864-260-6995",
            "fax_number": "864-260-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CASH",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-583-0053"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "293",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "SC",
            "license": "27788",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "18437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.