CAROLINA PAIN AND WELLNESS INC – NPI #1467031419
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

Health Care Provider Taxonomy Code for Family Medicine

CAROLINA PAIN AND WELLNESS INC is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1467031419 to CAROLINA PAIN AND WELLNESS INC on April 06, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Jul 30, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLINA PAIN AND WELLNESS INC below.

NPI Profile for
CAROLINA PAIN AND WELLNESS INC

NPI Number
1467031419
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAROLINA PAIN AND WELLNESS INC
Primary location
4420 OLEANDER DR STE 101
MYRTLE BEACH, SC 29577-5720
Phone: (843) 428-6879 Fax: (888) 366-8693
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELA CLARIDA
OPERATIONS MANAGER
Phone: (843) 222-5395
Updated
Certification Date
Jul 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
4420 OLEANDER DR STE 101,
MYRTLE BEACH, SC 77025-1669