Low Country Pain Center LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

21478 Issued in SC

Legal business name

LOW COUNTRY PAIN CENTER LLC

Practice address

793 Cook Road
Orangeburg, SC 29118-9008

Phone

(803) 531-8808

Fax

(803) 531-3330

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Avinash Gupta, M.D.NPI 1922084821

Title

Owner

Phone

(803) 531-0029

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14078/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Avinash Gupta, MD

  • Anesthesiology Physician
  • Orangeburg, SC
  • NPI 1922084821

  Anesthesiology, SC

  Medicare reassignment NPD Authorized official
• Conita L Hill, PA

  • Medical Physician Assistant
  • Orangeburg, SC
  • NPI 1780770768

  SC

  Medicare reassignment

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1982867875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4860",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762698",
            "telephone_number": "800-951-7850",
            "fax_number": "843-357-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 COOK ROAD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291189008",
            "telephone_number": "803-531-8808",
            "fax_number": "803-531-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW COUNTRY PAIN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "AVINASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-531-0029",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "21478",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "SC",
            "license": "21478",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4122",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Love'S Home Care LLC
• Dallas W Lovelace III, MD
• Loving Care for Life Home Care
• Low Country Health Care System
• Low Country Health Care System Inc.
• Amy Lowder, RN, BSN
• Tammy Lea Lowe, CSA
• Erika Lubsey, MD
• Anna Lucas, LPTA
• Sarah Anne Ludington, M.D.

• All providers in Orangeburg, SC
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.

Verify at the official NPI Registry.