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NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC
NPI 1134943459
Pain Medicine - Interventional Pain Medicine in Mt Pleasant, SC

Active since November 13, 2024CLIA 42D2014953 · Certificate of Compliance
1625 HOSPITAL DR, MT PLEASANT, SC 29464(843) 849-1551(843) 884-0629 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Jul 1, 2025, Nov 13, 2024 (3 updates tracked since 2024).

About Novant Health Southeastern Spine Institute, Llc NPPES

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

NOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC (NPI 1134943459), doing business as Southeastern Spine Institute, is a healthcare organization registered as an interventional pain medicine in Mt Pleasant, South Carolina and active in the NPI registry since November 2024. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2028, maintains 3 additional practice locations, and lists Leea Walton, Rcs Manager, as its authorized official.

NPPES Registry Identity

NPI1134943459
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNOVANT HEALTH SOUTHEASTERN SPINE INSTITUTE, LLC
Location Address1625 HOSPITAL DRMt Pleasant, SC 29464-3698
Mailing Address2085 Frontis Plaza BlvdWinston Salem, NC 27103-5614
Phone(843) 849-1551
Fax(843) 884-0629
Organization SubpartNo
Authorized OfficialLeea WaltonRcs Manager · (336) 515-7085
Enumeration DateNovember 13, 2024
Last NPPES UpdateApril 6, 20263 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1134943459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
1625 HOSPITAL DR, Mt Pleasant, SC 29464
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Other Names 1

Doing Business AsSoutheastern Spine Institute

Secondary Practice Locations 3

Location 11748 Saint Matthews RdOrangeburg, SC 29118-2441 · Phone (843) 849-1551 · Fax (849) 278-6052
Location 212015 Highway 707Murrells Inlet, SC 29576-9737 · Phone (843) 849-1551 · Fax (843) 278-6052
Location 31014 Saint Andrews BlvdCharleston, SC 29407-7139 · Phone (843) 849-1551 · Fax (843) 278-6052

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Novant Health Southeastern Spine Institute, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Novant Health Southeastern Spine Institute, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Neurology11
Orthopedic Surgery5
Anesthesiology3
Physical Medicine and Rehabilitation2
Physical Therapist in Private Practice2
Neurosurgery1

Nearest to this location (20)

See all 24
Harrison Plunkett, M.D.
Anesthesiology
NPI 1649682774
1625 HOSPITAL DR
Mount Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts MedicareSame address
Thomas Anderson, MD
Neurosurgery
NPI 1275609489
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Timothy Bryan, MD
Orthopedic Surgery
NPI 1841589538
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Richard Frisch, M.D.
Orthopedic Surgery
NPI 1053528752
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Mark Hartman, MD
Orthopedic Surgery
NPI 1972592772
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Bassam Kassab, D.P.T.
Physical Therapist in Private Practice
NPI 1093985285
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ Accepts Medicare0.2 mi
German Levin, MD
Physical Medicine and Rehabilitation
NPI 1639117807
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Michael Mosier, MD
Physical Medicine and Rehabilitation
NPI 1093241911
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Mark Netherton, MD
Anesthesiology
NPI 1437267473
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Ryan Nobles, M.D.
Anesthesiology
NPI 1114188810
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Steven Poletti, M.D.
Orthopedic Surgery
NPI 1508841859
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Benjamin Schell, MD
Orthopedic Surgery
NPI 1861802126
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ PECOS✔ Accepts Medicare0.2 mi
Caitlin Vereen, PT
Physical Therapist in Private Practice
NPI 1497423768
1625 HOSPITAL DR
Mt Pleasant, SC 29464
(843) 849-1551
✔ Accepts Medicare0.2 mi
Greg Schaublin, MD
Neurology
NPI 1326095878
5354 COQUINA SHORES LN
Port Orange, FL 32128
(615) 346-8182
✔ PECOS✔ Accepts Medicare265 mi
Kira Dillard, MD
Neurology
NPI 1699155150
8002 PARK OVERLOOK DR
Bethesda, MD 20817
(615) 346-8182
✔ PECOS✔ Accepts Medicare451 mi
Robert Minahan, MD
Neurology
NPI 1841288255
336 22ND AVE N
Nashville, TN 37203
(615) 346-8182
✔ PECOS✔ Accepts Medicare459 mi
Vivian Hoang, MD
Neurology
NPI 1699959346
6154 BELMONT AVE
Dallas, TX 75214
(615) 346-8182
✔ PECOS✔ Accepts Medicare983 mi
Allen Mandir, MD
Neurology
NPI 1396744934
13400 E SHEA BLVD
Scottsdale, AZ 85259
(480) 301-8000
✔ PECOS✔ Accepts Medicare1,844 mi
Melissa Balbuena-Root, MD
Neurology
NPI 1912360884
9158 W DREYFUS DR
Peoria, AZ 85381
(615) 346-8182
✔ PECOS✔ Accepts Medicare1,871 mi
Romina Shirka, D.O.
Neurology
NPI 1124239116
102 APPIA PL
Henderson, NV 89011
(615) 346-8182
✔ PECOS✔ Accepts Medicare2,005 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 Compliance 42D2014953

Novant Health Southeastern Spine Institute · Mount Pleasant, SC
Active · expires May 21, 2028
CLIA Number42D2014953
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Robert E. Grier
Laboratory Phone(843) 849-1551
Laboratory LocationNovant Health Southeastern Spine Institute1625 Hospital Drive, Ste 200, Mount Pleasant, SC 29464
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Novant Health Southeastern Spine Institute, LLC's NPI number?

The NPI number for Novant Health Southeastern Spine Institute, LLC is 1134943459. It was assigned to this organization in the NPPES registry on November 13, 2024. The provider is doing business as Southeastern Spine Institute.

Where is Novant Health Southeastern Spine Institute, LLC located?

Novant Health Southeastern Spine Institute, LLC is located at 1625 Hospital Dr, Mt Pleasant, SC 29464. The listed phone number is (843) 849-1551.

What is Novant Health Southeastern Spine Institute, LLC's specialty?

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

Is Novant Health Southeastern Spine Institute, LLC enrolled in Medicare?

Yes. Novant Health Southeastern Spine Institute, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Novant Health Southeastern Spine Institute, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Novant Health Southeastern Spine Institute, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Neurology (11), Orthopedic Surgery (5) and Anesthesiology (3). Of these, 1 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Novant Health Southeastern Spine Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D2014953) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novant Health Southeastern Spine Institute, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 3 other insurers list Novant Health Southeastern Spine Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Novant Health Southeastern Spine Institute, LLC was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.