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LAKE CAROLINA PAIN AND SPINE CENTER, LLC
NPI 1326430208
Anesthesiology - Pain Medicine in Columbia, SC

Active since March 02, 2015CLIA 42D2180681 · Waiver
1821 CLEMSON RD, COLUMBIA, SC 29229(803) 788-5916(803) 788-9564 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lake Carolina Pain And Spine Center, Llc NPPES

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

LAKE CAROLINA PAIN AND SPINE CENTER, LLC (NPI 1326430208) is a healthcare organization registered as a pain medicine in Columbia, South Carolina and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through March 17, 2028 and lists Kamran Z Koranloo, Physician, as its authorized official.

NPPES Registry Identity

NPI1326430208
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameLAKE CAROLINA PAIN AND SPINE CENTER, LLC
Location Address1821 CLEMSON RDColumbia, SC 29229-7832
Mailing Address1821 Clemson RdColumbia, SC 29229-7832 · (803) 788-5916 · Fax (803) 788-9564
Phone(803) 788-5916
Fax(803) 788-9564
Organization SubpartNo
Authorized OfficialKamran Z KoranlooPhysician · (803) 764-1228
Enumeration DateMarch 2, 2015
Last NPPES UpdateJanuary 6, 2020
✔ NPI 1326430208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in SC · 23150
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.
1821 CLEMSON RD, Columbia, SC 29229
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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)

Lake Carolina Pain And Spine Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lake Carolina Pain And Spine Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kamran Zargham Koranloo, M.D.
Anesthesiology
NPI 1013022516
1821 CLEMSON RD
Columbia, SC 29229
(803) 788-5916
✔ PECOS✔ Accepts MedicareSame address

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 Waiver 42D2180681

Lake Carolina Pain And Spine Center · Columbia, SC
Active · expires Mar 17, 2028
CLIA Number42D2180681
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2026
Certificate Expiration DateMarch 17, 2028
Laboratory DirectorKamran Z. Koranloo
Laboratory Phone(803) 708-6160
Laboratory LocationLake Carolina Pain And Spine Center1821 Clemson Road #2, Columbia, SC 29229
CLIA data matches this NPI record on: Address Name
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 Lake Carolina Pain And Spine Center, LLC's NPI number?

The NPI number for Lake Carolina Pain And Spine Center, LLC is 1326430208. It was assigned to this organization in the NPPES registry on March 2, 2015.

Where is Lake Carolina Pain And Spine Center, LLC located?

Lake Carolina Pain And Spine Center, LLC is located at 1821 Clemson Rd, Columbia, SC 29229. The listed phone number is (803) 788-5916.

What is Lake Carolina Pain And Spine Center, LLC's specialty?

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

Is Lake Carolina Pain And Spine Center, LLC enrolled in Medicare?

Yes. Lake Carolina Pain And Spine Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lake Carolina Pain And Spine Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Lake Carolina Pain And Spine 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lake Carolina Pain And Spine Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2180681) is associated with this NPI, valid through March 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Carolina Pain And Spine Center, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Lake Carolina Pain And Spine Center, 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 Lake Carolina Pain And Spine Center, LLC was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.