Organization Active NPI

Allen L Sloan MD PC

Doing business as Csra Pain Management

  • Pain Medicine (Anesthesiology) Physician
  • North Augusta, SC
National Provider Identifier
1922000702
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
14285 Issued in SC
Legal business name
ALLEN L SLOAN MD PC
Doing business as
Csra Pain Management
Practice address
1168 W Martintown Rd
North Augusta, SC 29841-2046
Phone
(803) 202-0053
Fax
(803) 202-0018
NPI assigned
Aug 11, 2005
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Allen L Sloan, M.D.NPI 1235108853
Title
Owner/ Physician
Phone
(803) 202-0053

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 14285 SC Primary

Addresses

Primary practice location

1168 W Martintown Rd
North Augusta, SC 29841-2046

Mailing address

1168 W Martintown Rd
North Augusta, SC 29841-2046
Phone (803) 202-0053

Other identifiers 2

IdentifierTypeStateIssuer
00378672DMedicaidGA
142851MedicaidSC

Other names 1

  • CSRA PAIN MANAGEMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040527000417 SC Part B Supplier - Clinic/Group Practice 2062493851 Receives reassigned benefits from 1 practitioner
Practice locations: North Augusta, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1088831Csra Pain Management1168 W Martintown Rd, North Augusta, SC 29841Certificate of waiverSep 4, 2026

National Provider Directory

National Provider Directory

Locations

1168 W Martintown Rd
North Augusta, SC 29841
Phone (803) 202-0053

Practitioners & affiliated clinicians

Practitioners 3

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1922000702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1168 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412046",
            "telephone_number": "803-202-0053",
            "fax_number": "803-202-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1168 W MARTINTOWN RD",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412046",
            "telephone_number": "803-202-0053",
            "fax_number": "803-202-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN L SLOAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "803-202-0053",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "SC",
            "license": "14285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00378672D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142851",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CSRA PAIN MANAGEMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.