PALMETTO SPINE & PAIN CARE CONSULTANTS, LLC
NPI 1679974588
Anesthesiology - Pain Medicine in Myrtle Beach, SC

Active since September 10, 2014
4736 HIGHWAY 17 BYP S, MYRTLE BEACH, SC 29588(843) 213-2039(843) 293-2454 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Aug 22, 2016 (2 updates tracked since 2016).

About Palmetto Spine & Pain Care Consultants, Llc NPPES

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

PALMETTO SPINE & PAIN CARE CONSULTANTS, LLC (NPI 1679974588) is a healthcare organization registered as a pain medicine in Myrtle Beach, South Carolina and active in the NPI registry since September 2014. The organization lists Stephen E Boatwright, Owner, as its authorized official.

NPPES Registry Identity

NPI1679974588
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NamePALMETTO SPINE & PAIN CARE CONSULTANTS, LLC
Location Address4736 HIGHWAY 17 BYP SMyrtle Beach, SC 29588-5616
Mailing Address4736 Highway 17 Byp SMyrtle Beach, SC 29588-5616 · (843) 213-2039 · Fax (843) 293-2454
Fax(843) 293-2454
Organization SubpartNo
Authorized OfficialStephen E BoatwrightOwner · (843) 798-9686
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1679974588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
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.
4736 HIGHWAY 17 BYP S, Myrtle Beach, SC 29588

Other Identifiers 1

MedicaidGP6742SC

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Palmetto Spine & Pain Care Consultants, 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 Palmetto Spine & Pain Care Consultants, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1538157334
4736 HIGHWAY 17 BYP S
Myrtle Beach, SC 29588
(843) 231-2039
✔ 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 Compliance 42D2088479

Palmetto Spine & Pain Care Consultant, LLC · Myrtle Beach, SC
Expired · Sep 30, 2026
CLIA Number42D2088479
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Sandra L. Wetter
Laboratory Phone(843) 213-2039
Laboratory LocationPalmetto Spine & Pain Care Consultant, LLC4736 Highway 17 Bypass, Myrtle Beach, SC 29588
CLIA data matches this NPI record on: 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.

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 Spine & Pain Care Consultants, LLC's NPI number?

The NPI number for Palmetto Spine & Pain Care Consultants, LLC is 1679974588. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Palmetto Spine & Pain Care Consultants, LLC located?

Palmetto Spine & Pain Care Consultants, LLC is located at 4736 Highway 17 Byp S, Myrtle Beach, SC 29588. The listed phone number is (843) 213-2039.

What is Palmetto Spine & Pain Care Consultants, LLC's specialty?

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

Is Palmetto Spine & Pain Care Consultants, LLC enrolled in Medicare?

Yes. Palmetto Spine & Pain Care Consultants, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Palmetto Spine & Pain Care Consultants, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Palmetto Spine & Pain Care Consultants, 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.

What insurance does Palmetto Spine & Pain Care Consultants, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Palmetto Spine & Pain Care Consultants, 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 Palmetto Spine & Pain Care Consultants, LLC was last updated on May 7, 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.