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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, 2024
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: August 02, 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 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 of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 · Mt Pleasant, SC
Expired · Jun 30, 2026
CLIA Number42D2014953
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2024
Certificate Expiration DateJune 30, 2026
Laboratory DirectorDr. Robert E. Grier
Laboratory Phone(843) 849-1551
Laboratory LocationNovant Health Southeastern Spine Institute1625 Hospital Drive, Suite E330, Mt Pleasant, SC 29464
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 20

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

RICHARD FRANCIS FRISCH JR. M.D.
Orthopaedic Surgery
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
DR. MICHAEL MOSIER MD
Physical Medicine & Rehabilitation
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
MR. BASSAM SHAMEL KASSAB D.P.T.
Physical Therapist
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
RYAN HARRISON NOBLES M.D.
Pain Medicine (Interventional Pain Medicine)
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
SARA ELIZABETH HARBERT
Physical Therapy Assistant
1625 HOSPITAL DR
MOUNT PLEASANT, SC 29464
Charleston County (866) 774-6350
DR. THOMAS SHANNON ANDERSON MD
Neurological Surgery
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
DANIEL R BUTLER PA-C
Physician Assistant
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551
JUSTIN SWAIN PA-C
Physician Assistant
1625 HOSPITAL DR
MT PLEASANT, SC 29464
Charleston County (843) 849-1551

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.

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

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Florida Blue (BlueCross BlueShield FL) and 2 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 4 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.