PHYSICIAN'S PAIN AND SPINE CENTER, LLC
NPI 1336475573
Pain Medicine - Interventional Pain Medicine in West Coumbia, SC

Active since October 22, 2009CLIA 42D2055925 · Waiver
3227-F SUNSET BLVD., SUITE 102, WEST COUMBIA, SC 29169(803) 724-2336(803) 724-2317 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physician's Pain And Spine Center, Llc NPPES

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

PHYSICIAN'S PAIN AND SPINE CENTER, LLC (NPI 1336475573) is a healthcare organization registered as an interventional pain medicine in West Coumbia, South Carolina and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through March 18, 2027 and lists Kenneth Russell Grosslight, President/owner, as its authorized official.

NPPES Registry Identity

NPI1336475573
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePHYSICIAN'S PAIN AND SPINE CENTER, LLC
Location Address3227-F SUNSET BLVD., SUITE 102West Coumbia, SC 29169-3201
Mailing Address3227-f Sunset Blvd., Suite 102West Coumbia, SC 29169-3201 · (803) 724-2336 · Fax (803) 724-2317
Fax(803) 724-2317
Organization SubpartNo
Authorized OfficialKenneth Russell GrosslightPresident/owner · (803) 724-2336
Enumeration DateOctober 22, 2009
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1336475573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
3227-F SUNSET BLVD., West Coumbia, SC 29169

Other Identifiers 1

MedicaidGP5286SC

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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 Waiver 42D2055925

Physician's Pain And Spine Center, LLC · West Columbia, SC
Active · expires Mar 18, 2027
CLIA Number42D2055925
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorKenneth R. Grosslight
Laboratory Phone(803) 724-2336
Laboratory LocationPhysician's Pain And Spine Center, LLC3227-F Sunset Blvd, Bldg F, Ste 102, West Columbia, SC 29169
CLIA data matches this NPI record on: Name 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 Physician's Pain And Spine Center, LLC's NPI number?

The NPI number for Physician's Pain And Spine Center, LLC is 1336475573. It was assigned to this organization in the NPPES registry on October 22, 2009.

Where is Physician's Pain And Spine Center, LLC located?

Physician's Pain And Spine Center, LLC is located at 3227-F Sunset Blvd. Suite 102, West Coumbia, SC 29169. The listed phone number is (803) 724-2336.

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

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

Does Physician's Pain And Spine Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2055925) is associated with this NPI, valid through March 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Physician's Pain And Spine Center, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Physician's 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 Physician's Pain And Spine Center, LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.