MEDICARE: PALMETTO PAIN MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0014X	Interventional Pain Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861411738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALMETTO PAIN MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	2611 FOREST DR STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2371
Country	:	US
Telephone Number	:	803-779-3263
Fax Number	:	803-779-3207

Provider Business Practice Location Address
First Line	:	2611 FOREST DR STE 200
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2371
Country	:	US
Telephone Number	:	803-779-3263
Fax Number	:	803-779-3207

Authorized Official
Title or Position	:	BILLING ADMIN
Name	:	CHRISTINA B SMOAK
Credential	:
Telephone Number	:	803-779-3263

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	10/08/2024

Similar Medicare Providers

1073586186 — MARK A DAVIS PA-C
Practice Location Address:

2611 FOREST DR STE 200
COLUMBIA, SC
29204-2371

Practice Phone: 803-779-3263
Practice Fax: 803-779-3207

1457389363 — TROY H BLANKS PA
Practice Location Address:

2611 FOREST DR STE 200
COLUMBIA, SC
29204-2371

Practice Phone: 803-779-3263
Practice Fax: 803-779-3207

1619037447 — TRINITY COUNSELING SERVICES LLC
Practice Location Address:

2611 FOREST DR STE 206
COLUMBIA, SC
29204-2371

Practice Phone: 803-741-5598
Practice Fax:

1467849943 — DR. NEERAJ SRIRAM MD
Practice Location Address:

2611 FOREST DR STE 200
COLUMBIA, SC
29204-2371

Practice Phone: 803-779-3263
Practice Fax: 803-779-3207

1629457650 — PALMETTO PAIN MANAGEMENT, LLC
Practice Location Address:

2611 FOREST DR STE 200
COLUMBIA, SC
29204-2371

Practice Phone: 803-779-3263
Practice Fax: 803-779-3207

1629576848 — CAROLINA INTERVENTIONAL PAIN INSTITUTE, LLC
Practice Location Address:

2611 FOREST DR STE 100
COLUMBIA, SC
29204-2371

Practice Phone: 803-779-3263
Practice Fax:

Directions to “PALMETTO PAIN MANAGEMENT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.