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

Active since July 26, 2006
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: October 18, 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 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
Phone(864) 583-0053
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 Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X
Also ListedPhysical TherapistTaxonomy 225100000X
279 E KENNEDY ST, Spartanburg, SC 29302
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Other Names 1

Other NameCcamp Carolina Pain Center

Secondary Practice Locations 4

Location 11506 N Fant StAnderson, SC 29621-4708 · Phone (864) 260-6995 · Fax (864) 884-9909
Location 27021 Saint Andrews Rd Ste 1Columbia, SC 29212-1177 · Phone (803) 791-7175 · Fax (803) 791-7176
Location 31998 Hendersonville Rd Ste 45Asheville, NC 28803-2192 · Phone (828) 232-1955 · Fax (828) 232-0329
Location 410 Enterprise Blvd Ste 201Greenville, SC 29615-3554 · Phone (864) 295-6399 · Fax (864) 295-2337

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

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.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)

Ccamp Carolina Pain Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Ccamp Carolina Pain Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner10
Interventional Pain Management4
Physical Medicine and Rehabilitation3
Anesthesiology1
Clinical Psychologist1
Pain Management1

Clinicians, nearest first (20)

Yevgeny Mironer, MD
Interventional Pain Management
NPI 1992728141
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOSSame address
Tina Smith, NP
Nurse Practitioner
NPI 1336782978
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts MedicareSame address
John Haasis, MD
Pain Management
NPI 1710908496
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts MedicareSame address
Justin Hutcheson, MD MS
Interventional Pain Management
NPI 1154421915
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts MedicareSame address
Renju Joseph, MD
Physical Medicine and Rehabilitation
NPI 1649296690
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts MedicareSame address
Nisarg Patel, DO
Anesthesiology
NPI 1760979983
279 E KENNEDY ST
Spartanburg, SC 29302
(864) 583-0053
✔ PECOS✔ Accepts MedicareSame address
Charles Tollison, PHD
Clinical Psychologist
NPI 1710900964
1330 BOILING SPRINGS RD STE 1600
Spartanburg, SC 29303
(864) 582-6396
✔ PECOS✔ Accepts Medicare3.0 mi
Toshiva Shippy, FNP
Nurse Practitioner
NPI 1902540172
220 IRBY ST
Woodruff, SC 29388
(864) 582-2411
✔ PECOS✔ Accepts Medicare16 mi
Robert Westrol, M.D.
Physical Medicine and Rehabilitation
NPI 1497796916
12 MAPLE TREE CT STE 101
Greenville, SC 29615
(864) 203-0035
✔ PECOS✔ Accepts Medicare21 mi
Taylor Clark, FNP-C
Nurse Practitioner
NPI 1952008351
920 WOODRUFF RD
Greenville, SC 29607
(864) 455-1600
✔ PECOS24 mi
Daphne Areephanthu, APRN
Nurse Practitioner
NPI 1073104790
111 DOCTORS DR
Greenville, SC 29605
(864) 797-7100
✔ PECOS✔ Accepts Medicare29 mi
Christina Garrett
Nurse Practitioner
NPI 1326434283
701 GROVE RD
Greenville, SC 29605
(864) 455-5648
✔ PECOS✔ Accepts Medicare29 mi
Emmanuel Sakla, D.O.
Physical Medicine and Rehabilitation
NPI 1992147029
2704 KINARD ST
Newberry, SC 29108
(803) 321-6254
✔ PECOS✔ Accepts Medicare49 mi
Amy Ash, FNP-C
Nurse Practitioner
NPI 1053928903
108 MONTGOMERY DR
Anderson, SC 29621
(864) 225-5597
✔ PECOS✔ Accepts Medicare50 mi
Alexander Kieber, MD
Interventional Pain Management
NPI 1396232450
1340 PATTON AVE STE J
Asheville, NC 28806
(828) 505-4777
✔ PECOS✔ Accepts Medicare58 mi
Tiffany Ballington, NP
Nurse Practitioner
NPI 1093470296
7021 SAINT ANDREWS RD STE 1
Columbia, SC 29212
(864) 260-6995
✔ PECOS✔ Accepts Medicare74 mi
Reajean Camacho, NP-C
Nurse Practitioner
NPI 1134497159
7021 SAINT ANDREWS RD STE 1
Columbia, SC 29212
(803) 791-7175
✔ PECOS✔ Accepts Medicare74 mi
Edna Frazier, FNP-C
Nurse Practitioner
NPI 1215649660
7021 SAINT ANDREWS RD STE 1
Columbia, SC 29212
(803) 791-7175
✔ PECOS✔ Accepts Medicare74 mi
Michael Worobel, DO
Interventional Pain Management
NPI 1700222809
110 LAKE CONCORD RD NE
Concord, NC 28025
(704) 792-2672
✔ PECOS82 mi
Vicki Harden-Taylor
Nurse Practitioner
NPI 1760853873
3980 HIGHWAY 9 E STE 320
Little River, SC 29566
(843) 366-3715
✔ PECOS✔ Accepts Medicare202 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. The provider is also known as Ccamp Carolina Pain Center.

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.

Is Carolinas Center For Advanced Management Of Pain, LLC enrolled in Medicare?

Yes. Carolinas Center For Advanced Management Of Pain, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolinas Center For Advanced Management Of Pain, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 6 Medicare specialties reassign their Medicare billing to Carolinas Center For Advanced Management Of Pain, 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. The largest specialties are Nurse Practitioner (10), Interventional Pain Management (4) and Physical Medicine and Rehabilitation (3). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.