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SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC
NPI 1104791995
Pain Medicine - Interventional Pain Medicine in Myrtle Beach, SC

Active since October 09, 2025CLIA Certified · 3 labs
199 VILLAGE CENTER BLVD STE 120, MYRTLE BEACH, SC 29579(770) 962-3642(770) 962-3643 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Carolina Interventional Pain - D, Llc NPPES

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

SOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC (NPI 1104791995) is a healthcare organization registered as an interventional pain medicine in Myrtle Beach, South Carolina and active in the NPI registry since October 2025. The organization holds 3 active CLIA laboratory certificates and lists Amit Patel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104791995
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSOUTH CAROLINA INTERVENTIONAL PAIN - D, LLC
Location Address199 VILLAGE CENTER BLVD STE 120Myrtle Beach, SC 29579-3589
Mailing Address455 Philip Blvd Ste 140Lawrenceville, GA 30046-8768 · (770) 962-3642 · Fax (770) 962-3643
Phone(770) 962-3642
Fax(770) 962-3643
Organization SubpartNo
Authorized OfficialAmit PatelCeo · (770) 962-3642
Enumeration DateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1104791995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
199 VILLAGE CENTER BLVD STE 120, Myrtle Beach, SC 29579
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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 3

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 Waiver 42D2335554

South Carolina Interventional Pain - D, LLC · Myrtle Beach, SC
Active · expires Dec 11, 2027
CLIA Number42D2335554
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAmit S. Patel
Laboratory Phone(770) 962-3642
Laboratory LocationSouth Carolina Interventional Pain - D, LLC199 Village Center Blvd, Ste 120, Myrtle Beach, SC 29579
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2335548

South Carolina Interventional Pain - B, LLC · Columbia, SC
Active · expires Dec 11, 2027
CLIA Number42D2335548
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAmit S. Patel
Laboratory Phone(770) 962-3642
Laboratory LocationSouth Carolina Interventional Pain - B, LLC3010 Farrow Rd, Ste 200B, Columbia, SC 29203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D2335552

South Carolina Interventional Pain - C, LLC · Charleston, SC
Active · expires Dec 11, 2027
CLIA Number42D2335552
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAmit S. Patel
Laboratory Phone(770) 962-3642
Laboratory LocationSouth Carolina Interventional Pain - C, LLC1460 Tobias Gadson Blvd, Ste 120, Charleston, SC 29407
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 South Carolina Interventional Pain - D, LLC's NPI number?

The NPI number for South Carolina Interventional Pain - D, LLC is 1104791995. It was assigned to this organization in the NPPES registry on October 9, 2025.

Where is South Carolina Interventional Pain - D, LLC located?

South Carolina Interventional Pain - D, LLC is located at 199 Village Center Blvd Ste 120, Myrtle Beach, SC 29579. The listed phone number is (770) 962-3642.

What is South Carolina Interventional Pain - D, LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does South Carolina Interventional Pain - D, LLC hold CLIA laboratory certificates?

Yes. 3 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 South Carolina Interventional Pain - D, LLC was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.