PAIN MANAGEMENT ASC LLC
NPI 1770597924
Specialist in Hilton Head, SC

NPI Status: Active since July 27, 2006

Contact Information

11 HOSPITAL CENTER CMNS
SUITE 100
HILTON HEAD, SC
ZIP 29926
Phone: (843) 681-5062
Fax: (843) 681-5063

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  • Organization
  • Specialist
  • CLIA Number: 42D1094640
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-08-2026

About PAIN MANAGEMENT ASC LLC

This page provides the complete NPI Profile along with additional information for Pain Management Asc Llc, a provider established in Hilton Head, South Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1770597924 assigned on July 2006. The practitioner's primary taxonomy code is 174400000X with license number 15288 (SC). The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Beth Gold (Practice Manager)

NPI
1770597924
Provider Name
PAIN MANAGEMENT ASC LLC
Entity Type
Organization
Location Address
11 HOSPITAL CENTER CMNS SUITE 100 HILTON HEAD, SC 29926
Location Phone
(843) 681-5062
Location Fax
(843) 681-5063
Mailing Address
PO BOX 22120 HILTON HEAD, SC 29925
Mailing Phone
(843) 681-5062
Mailing Fax
(843) 681-5063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2006
Last Update Date
02-22-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
15288
License State
SC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. BETH GOLD

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(843) 681-5062

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42D1094640OTHER (01)SCCLIA
GP3893MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D1094640
Facility Type
Physician Office
Certificate Effective Date
April 09, 2024
Certificate Expiration Date
April 08, 2026
Laboratory Director
DR. DAVID A. BROSMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pain Management Asc Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PAIN MANAGEMENT ASC LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770597924
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401091494
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 9 + 1 + 4 + 9 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1770597924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235370453DR. JAMES MAGINNIS DMD, MS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)11 HOSPITAL CENTER CMNS STE 201
HILTON HEAD ISLAND, SC 29926
(843) 681-5556
1538529086BONNIE J ROTHWELL DMD PA
Organization
Dentist11 HOSPITAL CENTER CMNS SUITE 200
HILTON HEAD ISLAND, SC 29926
(843) 342-6900
1023113008DR. DAVID A BROSMAN MD
Individual
Pain Medicine (Interventional Pain Medicine)11 HOSPITAL CENTER CMNS SUITE 100
HILTON HEAD, SC 29926
(843) 681-5062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770597924, enumerated in the NPI registry as an "organization" on July 27, 2006

The provider is located at 11 Hospital Center Cmns Suite 100 Hilton Head, Sc 29926 and the phone number is (843) 681-5062

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 42D1094640 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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