CCAMP CAROLINA PAIN CENTER
NPI 1750304002
Pain Medicine - Interventional Pain Medicine in Spartanburg, SC

NPI Status: Active since July 26, 2006

Contact Information

279 E KENNEDY ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 583-0053
Fax: (864) 583-0390

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pain Medicine
Interventional Pain Medicine
Accepts Insurance

About CCAMP CAROLINA PAIN CENTER

This page provides the complete NPI Profile along with additional information for Ccamp Carolina Pain Center, a provider established in Spartanburg, South Carolina operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1750304002 assigned on July 2006. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. Ccamp Carolina Pain Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Ccamp Carolina Pain Center. The authorized official of this NPI record is Dr. John Haasis (Owner/md)

NPI: 1750304002
Provider Legal Name: CAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, LLC
Other Organization Name: CCAMP CAROLINA PAIN CENTER
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 279 E KENNEDY ST SPARTANBURG, SC 29302
Location Phone: (864) 583-0053
Location Fax: (864) 583-0390
Mailing Address: PO BOX 6130 SPARTANBURG, SC 29304
Mailing Phone: (864) 583-0053
Mailing Fax: (864) 583-0390
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-26-2006
Last Update Date: 12-11-2024
Code Navigator

Location Map

Secondary Locations

7021 Saint Andrews Rd Ste 1
Columbia, SC 29212
(803) 791-7175
1506 N Fant St
Anderson, SC 29621
(864) 260-6995
10 Enterprise Blvd Ste 201
Greenville, SC 29615
(864) 295-6399
1998 Hendersonville Rd Ste 45
Asheville, NC 28803
(828) 232-1955

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pain Medicine Interventional Pain Medicine
Taxonomy Code: 208VP0014X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	103TC0700X	Behavioral Health & Social Service Providers	Psychologist Clinical
2	2081P2900X	Allopathic & Osteopathic Physicians	Physical Medicine & Rehabilitation Pain Medicine
3	225100000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Absolute Total Care

Clear Silver - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Ambetter of North Carolina

Clear Silver with $0 Insulin Options - HMO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Complete Gold with Atrium Health - HMO
Complete Gold with Atrium Health + Vision + Adult Dental - HMO
Complete Silver with Atrium Health - HMO
Complete Silver with Atrium Health + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Bronze with Atrium Health - HMO

Blue Cross and Blue Shield of NC

Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Bronze Standard | Nationwide Doctors - PPO
Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Gold Standard | Nationwide Doctors - PPO
Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
Blue Advantage Silver Standard | Nationwide Doctors - PPO
Blue Care Bronze Standard | Statewide Doctors - HMO
Blue Care Gold Standard | Statewide Doctors - HMO

WellCare of North Carolina

Standard Expanded Bronze WellCare - PPO
Standard Gold WellCare - PPO
Standard Silver WellCare - PPO
WellCare Secure Health Bronze - PPO
WellCare Secure Health Gold - PPO
WellCare Secure Health Silver - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. JOHN HAASIS
Authorized Official Title: OWNER/MD
Authorized Official Phone: (864) 583-0053

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
GP1456	MEDICAID (05)	SC
890652K	MEDICAID (05)	NC
013KE	OTHER (01)	NC	BCBS

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	5	0	3	0	4	0	0	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	6	0	8	0	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 0 + 8 + 0 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1750304002 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.