SOUTHCOAST SPINE AND PAIN LLC
NPI 1891442869
Anesthesiology - Pain Medicine in Aiken, SC

Q: What is Southcoast Spine And Pain LLC's NPI number?

The NPI number for Southcoast Spine And Pain LLC is 1891442869. It was assigned to this organization in the NPPES registry on March 9, 2022.

Q: What is Southcoast Spine And Pain LLC's specialty?

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

Active since March 09, 2022

440 SOCIETY HILL DR STE 202, AIKEN, SC 29803(803) 226-0102(803) 226-0384 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2022, Mar 9, 2022 (2 updates tracked since 2022).

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About Southcoast Spine And Pain Llc NPPES

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

SOUTHCOAST SPINE AND PAIN LLC (NPI 1891442869) is a healthcare organization registered as a pain medicine in Aiken, South Carolina and active in the NPI registry since March 2022. The organization maintains a secondary practice location in Mount Pleasant and lists Daryan Long, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1891442869

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameSOUTHCOAST SPINE AND PAIN LLC

Location Address440 SOCIETY HILL DR STE 202Aiken, SC 29803-1755

Mailing Address440 Society Hill Dr Ste 202Aiken, SC 29803-1755 · (803) 226-0102 · Fax (803) 226-0384

Phone(803) 226-0102

Fax(803) 226-0384

Organization SubpartNo

Authorized OfficialDaryan LongBilling Manager · (843) 224-8086

Enumeration DateMarch 9, 2022

Last NPPES UpdateOctober 6, 20222 updates tracked since enumeration

NPPES CertifiedOctober 6, 2022

✔ NPI 1891442869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPhysician AssistantTaxonomy 363A00000X

440 SOCIETY HILL DR STE 202, Aiken, SC 29803

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Secondary Practice Location 1

Location 13070 N Highway 17 Ste 202Mount Pleasant, SC 29466-9300 · Phone (803) 226-0102 · Fax (803) 226-0384

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southcoast Spine And Pain 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 Southcoast Spine And Pain LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Russell Daniel, M.D.

Anesthesiology

NPI 1376540260

440 SOCIETY HILL DR STE 202
Aiken, SC 29803

(803) 226-0102

✔ 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.

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 Southcoast Spine And Pain LLC's NPI number?

The NPI number for Southcoast Spine And Pain LLC is 1891442869. It was assigned to this organization in the NPPES registry on March 9, 2022.

Where is Southcoast Spine And Pain LLC located?

Southcoast Spine And Pain LLC is located at 440 Society Hill Dr Ste 202, Aiken, SC 29803. The listed phone number is (803) 226-0102.

What is Southcoast Spine And Pain LLC's specialty?

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

Is Southcoast Spine And Pain LLC enrolled in Medicare?

Yes. Southcoast Spine And Pain LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southcoast Spine And Pain LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Southcoast Spine And 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southcoast Spine And Pain LLC was last updated on October 6, 2022. 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.