NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC – NPI #1134943459
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

NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC is a provider located in MOUNT PLEASANT, SC. NPPES has assigned the NPI number 1134943459 to NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC on November 13, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, 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

The NPI profile was last updated on Apr 06, 2026. 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 NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC below.

NPI Profile for
NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC

NPI Number
1134943459
Enumeration Date

(more than a year 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
NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC
Primary location
1625 HOSPITAL DR
MOUNT PLEASANT, SC 29464-3698
Phone: (843) 849-1551 Fax: (843) 884-0629
3 Other location(s):
1014 Saint Andrews Blvd
Charleston, SC 29407-7139
Phone: (843) 849-1551
Fax: (843) 278-6052
12015 Highway 707
Murrells Inlet, SC 29576-9737
Phone: (843) 849-1551
Fax: (843) 278-6052
1748 Saint Matthews Rd
Orangeburg, SC 29118-2441
Phone: (843) 849-1551
Fax: (849) 278-6052
Mailing address
2085 FRONTIS PLAZA BLVD
WINSTON SALEM, NC 27103-5614
Phone: Fax:
Organization Subpart
No
Authorized Official
LEEA WALTON
RCS MANAGER
Phone: (336) 515-7085
Updated
Certification Date
Apr 06, 2026

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)
208100000X
- Physical Medicine & Rehabilitation
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine
207X00000X
- Orthopaedic Surgery

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.