TRIDENT PAIN CENTER LLC
NPI 1154757482
Anesthesiology - Pain Medicine in Moncks Corner, SC
About Trident Pain Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRIDENT PAIN CENTER LLC (NPI 1154757482) is a healthcare organization registered as a pain medicine in Moncks Corner, South Carolina and active in the NPI registry since September 2013. The organization lists Joseph Edward Nolan, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Trident Pain Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Trident Pain Center LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 LLC's NPI number?
The NPI number for Trident Pain Center LLC is 1154757482. It was assigned to this organization in the NPPES registry on September 18, 2013.
Where is Trident Pain Center LLC located?
Trident Pain Center LLC is located at 108 N Highway 52, Moncks Corner, SC 29461. The listed phone number is (843) 797-3636.
What is Trident Pain Center LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Trident Pain Center LLC enrolled in Medicare?
Yes. Trident Pain Center LLC is registered in the Medicare PECOS enrollment system.
When is Trident Pain Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Trident Pain Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 5 Medicare specialties reassign their Medicare billing to Trident Pain Center 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 Nurse Practitioner (6), Pain Management (3) and Anesthesiology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Trident Pain Center LLC 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.
# Trident Pain Center Llc · NPI 1154757482
Pain Medicine organization in Moncks Corner, South Carolina. Organization record, active in the CMS NPPES registry since September 18, 2013.
## Identity
- **NPI:** 1154757482 (Entity type: Organization)
- **Enumerated:** September 18, 2013
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** Yes (part of Trident Pain Center Llc)
- **Authorized official:** Joseph Nolan, MEDICAL DIRECTOR
## Practice location
- **Address:** 108 N HIGHWAY 52, Moncks Corner, SC 29461-3910
- **Phone:** (843) 797-3636 · **Fax:** (843) 797-3637
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 13 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Pain Management (3), Anesthesiology (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 18, 2024
- **Other identifiers:** Medicaid GP3479 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1154757482) · Data from the CMS NPPES public registry.