Trident Pain Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

4D1092047 Issued in SC

Legal business name

TRIDENT PAIN CENTER

Practice address

9275 Medical Plaza Dr
Ste G
North Charleston, SC 29406-9140

Phone

(843) 797-3636

Fax

(843) 797-3637

NPI assigned

May 19, 2015

Last updated

Mar 18, 2024By 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

Janet Agee

Title

Billing Manager

Phone

(843) 410-4402

Specialties & licenses 1

Addresses

Tax ID family

Trident Pain Center PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Trident Pain Center

  • Non-Pharmacy Dispensing Site
  • West Columbia, SC
  • NPI 1104602754
  NPD tax ID
• Trident Pain Center

  • Non-Pharmacy Dispensing Site
  • N Charleston, SC
  • NPI 1942086582
  NPD tax ID
• Trident Pain Center LLC

  • Pain Medicine Physician
  • Walterboro, SC
  • NPI 1194138255
  NPD tax ID
• Trident Pain Center, PA

  • Pain Medicine (Anesthesiology) Physician
  • Mount Pleasant, SC
  • NPI 1235533480
  NPD tax ID

Locations

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.

• Joseph Edward Nolan, MD

  • Interventional Pain Medicine Physician
  • N Charleston, SC
  • NPI 1679576813
  NPD (past)

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1912386368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR",
            "address_2": "STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9275 MEDICAL PLAZA DR",
            "address_2": "STE G",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069140",
            "telephone_number": "843-797-3636",
            "fax_number": "843-797-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-410-4402"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SC",
            "license": "4D1092047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricounty Eye Associates
• Trident Area Agency on Aging
• Trident Medical Center LLC (HCA Healthcare Trident Hospital)
• Trident Medical Center, LLC (Centre Pointe Emergency of HCA Healthcare Trident Hospital)
• Trident Medical Center, LLC (HCA Healthcare Centre Pointe ER, a department of HCA Healthcare Trident Hospital)
• Trident Podiatry, LLC
• Trident Vision Center, Inc
• Laurie Trinh, PHARM.D
• Christina M Tripp, DO
• Perry E Trouche, M.D.

• Clinical Medical Laboratory in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Clinical Medical Laboratory in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.