Active NPI
Low Country Pain Center LLC
- Anesthesiology Physician
- Orangeburg, SC
National Provider Identifier
1982867875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 21478
- 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
- Last updated
- Dec 30, 2014
- 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
- Avinash Gupta, M.D.
- Title
- Owner
- Phone
- (803) 531-0029
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 21478 | SC | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 21478 | SC |
Addresses
Primary practice location
793 Cook Road
Orangeburg, SC 29118-9008
Mailing address
PO Box 4860
Murrells Inlet, SC 29576-2698
Phone (800) 951-7850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
793 Cook Rd
Orangeburg, SC 29118
Phone (803) 531-8808
Interoperability endpoints
- https://api.platform.athenahealth.com/14078/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Anesthesiology Physician
- Orangeburg, SC
- NPI 1922084821
-
- Medical Physician Assistant
- Orangeburg, SC
- NPI 1780770768
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- 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.