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

Active since July 26, 2006CLIA 42D2060669 · Waiver
279 E KENNEDY ST, SPARTANBURG, SC 29302(864) 583-0053(864) 583-0390 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 11, 2024, Mar 3, 2021, Jan 10, 2020 (3 updates tracked since 2020).

About Ccamp Carolina Pain Center NPPES

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

CCAMP CAROLINA PAIN CENTER (NPI 1750304002) is a healthcare organization registered as an interventional pain medicine in Spartanburg, South Carolina and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2027, maintains 4 additional practice locations, and lists John Haasis, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1750304002
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameCAROLINAS CENTER FOR ADVANCED MANAGEMENT OF PAIN, LLC
Location Address279 E KENNEDY STSpartanburg, SC 29302-1912
Mailing AddressPo Box 6130Spartanburg, SC 29304-6130 · (864) 583-0053 · Fax (864) 583-0390
Fax(864) 583-0390
Organization SubpartNo
Authorized OfficialJohn HaasisOwner/md · (864) 583-0053
Enumeration DateJuly 26, 2006
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
NPI 1750304002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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 ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPhysical TherapistTaxonomy 225100000X
279 E KENNEDY ST, Spartanburg, SC 29302

Other Names 1

Other NameCcamp Carolina Pain Center

Secondary Practice Locations 4

Location 17021 Saint Andrews Rd Ste 1Columbia, SC 29212-1177 · Phone (803) 791-7175 · Fax (803) 791-7176
Location 21506 N Fant StAnderson, SC 29621-4708 · Phone (864) 260-6995 · Fax (864) 884-9909
Location 310 Enterprise Blvd Ste 201Greenville, SC 29615-3554 · Phone (864) 295-6399 · Fax (864) 295-2337
Location 41998 Hendersonville Rd Ste 45Asheville, NC 28803-2192 · Phone (828) 232-1955 · Fax (828) 232-0329

Other Identifiers 3

MedicaidGP1456SC
Medicaid890652KNC
Other013KENC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 42D2060669

Carolinas Center For Adv Mgmt Of Pain · Anderson, SC
Active · expires Jun 13, 2027
CLIA Number42D2060669
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Yergeng E. Mironer
Laboratory Phone(864) 260-6995
Laboratory LocationCarolinas Center For Adv Mgmt Of Pain1506 N Fant Street, Anderson, SC 29621
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
279 E KENNEDY ST
SPARTANBURG, SC 29302
Pain Medicine (Interventional Pain Medicine)
279 E KENNEDY ST
SPARTANBURG, SC 29302
Pain Medicine (Interventional Pain Medicine)
279 E KENNEDY ST
SPARTANBURG, SC 29302
Physician Assistant
279 E KENNEDY ST
SPARTANBURG, SC 29302
Non-Pharmacy Dispensing Site
279 E KENNEDY ST
SPARTANBURG, SC 29302
Durable Medical Equipment & Medical Supplies
279 E KENNEDY ST
SPARTANBURG, SC 29302
Nurse Practitioner (Family)
279 E KENNEDY ST
SPARTANBURG, SC 29302
Nurse Practitioner (Family)
279 E KENNEDY ST
SPARTANBURG, SC 29302

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 Carolinas Center For Advanced Management Of Pain, LLC's NPI number?

The NPI number for Carolinas Center For Advanced Management Of Pain, LLC is 1750304002. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Carolinas Center For Advanced Management Of Pain, LLC located?

Carolinas Center For Advanced Management Of Pain, LLC is located at 279 E Kennedy St, Spartanburg, SC 29302. The listed phone number is (864) 583-0053.

What is Carolinas Center For Advanced Management Of Pain, LLC's specialty?

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

Does Carolinas Center For Advanced Management Of Pain, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2060669) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolinas Center For Advanced Management Of Pain, LLC accept?

Health plans from Blue Cross and Blue Shield of NC and First Choice Next list Carolinas Center For Advanced Management Of Pain, 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 Carolinas Center For Advanced Management Of Pain, LLC was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.