1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Non Pharmacy Dispensing Site
  6. NPI Profile

PALMETTO PAIN MANAGEMENT, LLC
NPI 1629457650
Non-Pharmacy Dispensing Site in Columbia, SC

Active since May 22, 2015
2611 FOREST DR STE 200, COLUMBIA, SC 29204(803) 779-3263(803) 779-3207 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Palmetto Pain Management, Llc NPPES

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

PALMETTO PAIN MANAGEMENT, LLC (NPI 1629457650) is a healthcare organization registered as a non-pharmacy dispensing site in Columbia, South Carolina and active in the NPI registry since May 2015. The organization lists Jennifer Hodge, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1629457650
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePALMETTO PAIN MANAGEMENT, LLC
Location Address2611 FOREST DR STE 200Columbia, SC 29204-2371
Mailing Address2611 Forest Dr Ste 200Columbia, SC 29204-2371 · (803) 779-3263 · Fax (803) 779-3207
Phone(803) 779-3263
Fax(803) 779-3207
Organization SubpartNo
Authorized OfficialJennifer HodgePractice Administrator · (803) 779-3263
Enumeration DateMay 22, 2015
Last NPPES UpdateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1629457650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in SC · 13894
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
2611 FOREST DR STE 200, Columbia, SC 29204
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

MIRAKLE AVERY
Physician Assistant
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 799-3263
MARK A DAVIS PA-C
Physician Assistant
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
AYESHA MONAY MCCORMICK AGNP-C
Nurse Practitioner (Gerontology)
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
MARIANA CARMEN JEONG PA-C
Physician Assistant
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
ALAN REJONIS MD
Pain Medicine (Interventional Pain Medicine)
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
TROY H BLANKS PA
Physician Assistant
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
ALEXANDRA ANDERSON
Physician Assistant
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263
DR. NEERAJ SRIRAM MD
Anesthesiology (Pain Medicine)
2611 FOREST DR STE 200
COLUMBIA, SC 29204
Richland County (803) 779-3263

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 Palmetto Pain Management, LLC's NPI number?

The NPI number for Palmetto Pain Management, LLC is 1629457650. It was assigned to this organization in the NPPES registry on May 22, 2015.

Where is Palmetto Pain Management, LLC located?

Palmetto Pain Management, LLC is located at 2611 Forest Dr Ste 200, Columbia, SC 29204. The listed phone number is (803) 779-3263.

What is Palmetto Pain Management, LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Palmetto Pain Management, LLC was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.