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SOUTHERN GRACE PAIN & REGENERATIVE MEDICINE
NPI 1942836754
Clinic/Center - Pain in Mount Pleasant, SC

Active since March 13, 2020CLIA 42D2204954 · Waiver
3520 PARK AVENUE BLVD., SUITE 105, MOUNT PLEASANT, SC 29466(843) 754-4231 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Grace Pain & Regenerative Medicine NPPES

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

SOUTHERN GRACE PAIN & REGENERATIVE MEDICINE (NPI 1942836754) is a healthcare organization registered as a pain in Mount Pleasant, South Carolina and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through December 10, 2026 and lists William Blane Blane Richardson, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1942836754
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameSOUTHERN GRACE PAIN & REGENERATIVE MEDICINE
Location Address3520 PARK AVENUE BLVD., SUITE 105Mount Pleasant, SC 29466
Mailing Address2256 Beckenham DrMt Pleasant, SC 29466-9009 · (843) 754-4231
Phone(843) 754-4231
Organization SubpartNo
Authorized OfficialWilliam Blane Blane RichardsonProvider/owner · (843) 754-4231
Enumeration DateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1942836754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
3520 PARK AVENUE BLVD., SUITE 105, Mount Pleasant, SC 29466
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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 42D2204954

Southern Grace Pain & Regenerative Medicine · Mt Pleasant, SC
Active · expires Dec 10, 2026
CLIA Number42D2204954
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2024
Certificate Expiration DateDecember 10, 2026
Laboratory DirectorWilliam B. Richardson
Laboratory Phone(843) 754-4231
Laboratory LocationSouthern Grace Pain & Regenerative Medicine3520 Park Avenue Blvd Suite 105, Mt Pleasant, SC 29466
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Southern Grace Pain & Regenerative Medicine's NPI number?

The NPI number for Southern Grace Pain & Regenerative Medicine is 1942836754. It was assigned to this organization in the NPPES registry on March 13, 2020.

Where is Southern Grace Pain & Regenerative Medicine located?

Southern Grace Pain & Regenerative Medicine is located at 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466. The listed phone number is (843) 754-4231.

What is Southern Grace Pain & Regenerative Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Does Southern Grace Pain & Regenerative Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2204954) is associated with this NPI, valid through December 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Grace Pain & Regenerative Medicine accept?

Health plans from BlueCross BlueShield of South Carolina list Southern Grace Pain & Regenerative Medicine 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 Southern Grace Pain & Regenerative Medicine was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.