SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC – NPI #1104791995
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC is a provider located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1104791995 to SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC on October 09, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

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 SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC below.

NPI Profile for
SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC

NPI Number
1104791995
Enumeration Date

(about 8 months 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
SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC
Primary location
199 VILLAGE CENTER BLVD STE 120
MYRTLE BEACH, SC 29579-3589
Phone: (770) 962-3642 Fax: (770) 962-3643
Mailing address
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046-8768
Phone: (770) 962-3642 Fax: (770) 962-3643
Organization Subpart
No
Authorized Official
AMIT PATEL
CEO
Phone: (770) 962-3642
Updated
Certification Date
Oct 09, 2025

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
208VP0014X
- Pain Medicine / Interventional Pain 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
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669