NPIMap

Organization Active NPI

Carolina Physicians and Rehab, LLC

  • Interventional Pain Medicine Physician
  • Spartanburg, SC
National Provider Identifier
1982393179
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CAROLINA PHYSICIANS AND REHAB, LLC
Practice address
279 E Kennedy St
Spartanburg, SC 29302-1912
Phone
(888) 699-4188
Fax
(864) 335-9252
NPI assigned
May 3, 2023
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Justin Kelby Hutcheson, MDNPI 1154421915
Title
Owner
Phone
(888) 699-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

279 E Kennedy St
Spartanburg, SC 29302-1912

Mailing address

PO Box 26838
Greenville, SC 29616-1838
Phone (888) 699-4188

National Provider Directory

National Provider Directory
Tax ID family
Carolina Physicians and Rehab LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1982393179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26838",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296161838",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 E KENNEDY ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021912",
            "telephone_number": "888-699-4188",
            "fax_number": "864-335-9252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PHYSICIANS AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HUTCHESON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "KELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-699-4188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.