Active NPI
Southern Pain Specialists
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Columbia, SC
National Provider Identifier
1861983249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- MD18268
- Legal business name
- SOUTHERN PAIN SPECIALISTS
- Practice address
- 115 Blarney Dr Ste 111
Columbia, SC 29223 - Phone
- (803) 419-5345
- NPI assigned
- May 22, 2018
- 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. Stephen M Tuel, MD
- Title
- President / Owner
- Phone
- (803) 419-5345
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | MD18268 | SC | Primary |
Addresses
Primary practice location
115 Blarney Dr Ste 111
Columbia, SC 29223
Mailing address
115 Blarney Dr Ste 111
Columbia, SC 29223-6291
Phone (803) 419-5345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD18268 | Other | SC | SC MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7601 Two Notch Rd
Columbia, SC 29223
Phone (803) 419-5345
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Columbia, SC
- NPI 1487610424
-
- Psychologist
- Columbia, SC
- NPI 1801097159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1553558400000",
"number": "1861983249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BLARNEY DR STE 111",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236291",
"telephone_number": "803-419-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 BLARNEY DR STE 111",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-419-5345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN PAIN SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2019-03-26",
"status": "A",
"authorized_official_last_name": "TUEL",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "803-419-5345",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "SC",
"license": "MD18268",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC MEDICAL LICENSE",
"identifier": "MD18268",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Joel Allyn Southerlin II, LISW-CP
- Southern Cardiac Imaging, LLC
- Southern Home Care Services, Inc.
- Southern Orthopaedic Physical Therapy,LLC
- Southern Orthopaedic Sports Medicne
- Southern Roots Periodontics: Implant & Laser Dentistry, LLC
- Southern Smiles Dental Studio Columbia LLC
- Southerncare, Inc.
- Lisa Anne Southworth, LPC
- Jaelyn Souza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.