TRIDENT PAIN CENTER P A
NPI 1104468594
Anesthesiology - Pain Medicine in Columbia, SC

Active since October 17, 2019CLIA Certified · 5 labs
120 HIGHLAND CENTER DR, COLUMBIA, SC 29203(843) 797-3636(843) 797-3637 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trident Pain Center P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIDENT PAIN CENTER P A (NPI 1104468594) is a healthcare organization registered as a pain medicine in Columbia, South Carolina and active in the NPI registry since October 2019. The organization holds 5 active CLIA laboratory certificates and lists Joseph Edward Nolan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104468594
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameTRIDENT PAIN CENTER P A
Location Address120 HIGHLAND CENTER DRColumbia, SC 29203-9127
Mailing Address9267 Medical Plaza Dr Ste GNorth Charleston, SC 29406-9139 · (843) 797-3636
Fax(843) 797-3637
Organization SubpartYesParent: Trident Pain Center Llc
Authorized OfficialJoseph Edward NolanMedical Director · (843) 797-3636
Enumeration DateOctober 17, 2019
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1104468594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
120 HIGHLAND CENTER DR, Columbia, SC 29203

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 42D1092047

Trident Pain Center · N Charleston, SC
Active · expires Oct 15, 2027
CLIA Number42D1092047
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorDr. Yujing Wen
Laboratory Phone(843) 797-3636
Laboratory LocationTrident Pain Center9275-G Medical Plaza Drive, N Charleston, SC 29406
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 42D2130168

Trident Pain Center · West Columbia, SC
Active · expires May 2, 2027
CLIA Number42D2130168
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorJoseph E. Nolan
Laboratory Phone(843) 797-3636
Laboratory LocationTrident Pain Center176 Mcswain Drive, West Columbia, SC 29169
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2158132

Trident Pain Center · Charleston, SC
Active · expires Nov 19, 2026
CLIA Number42D2158132
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorEdward J. Nolan
Laboratory Phone(843) 797-3636
Laboratory LocationTrident Pain Center1930 Charlie Hall Boulevard, Charleston, SC 29414
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2079837

Trident Pain Center, LLC - Walterboro · Walterboro, SC
Active · expires Jun 24, 2028
CLIA Number42D2079837
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorEdward J. Nolan
Laboratory Phone(843) 797-3636
Laboratory LocationTrident Pain Center, LLC - Walterboro205 Eddie Chasteen Dr, Walterboro, SC 29488
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2068537

Trident Pain Center, LLC Moncks Corner · Moncks Corner, SC
Active · expires Nov 5, 2027
CLIA Number42D2068537
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2025
Certificate Expiration DateNovember 5, 2027
Laboratory DirectorJoseph E. Nolan
Laboratory Phone(843) 797-3636
Laboratory LocationTrident Pain Center, LLC Moncks Corner108 North Highway 52, Moncks Corner, SC 29461
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
120 HIGHLAND CENTER DR, SUITE 105
COLUMBIA, SC 29203
Physical Medicine & Rehabilitation (Pain Medicine)
120 HIGHLAND CENTER DR
COLUMBIA, SC 29203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trident Pain Center P A's NPI number?

The NPI number for Trident Pain Center P A is 1104468594. It was assigned to this organization in the NPPES registry on October 17, 2019.

Where is Trident Pain Center P A located?

Trident Pain Center P A is located at 120 Highland Center Dr, Columbia, SC 29203. The listed phone number is (843) 797-3636.

What is Trident Pain Center P A's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Trident Pain Center P A hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Trident Pain Center P A was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.