CMS-1500 Box 24J / 33a • NPI
1629460381
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
207LP2900X (CMS 05)
Board-Certified Anesthesiologist & Interventional Pain Specialist
Box 32 Service Location & ZIP+4
2767 CULTRA RD, CONWAY, SC, 29526-3716
✓ 9-Digit EDI 837 ZIP+4 (29526-3716)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1629460381 (ATLANTIC COAST PAIN SPECIALISTS, INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1629460381 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ATLANTIC COAST PAIN SPECIALISTS, INC |
| Plain-English Specialty | Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: 207LP2900X (Anesthesiology, Pain Medicine) |
| Certifying / Licensing Body | American Board of Anesthesiology (ABA) |
| Practice Location Address | 2767 CULTRA RD, CONWAY, SC, 29526-3716 |
| Practice Telephone / Fax | Tel: (843) 438-8470 | Fax: (843) 438-8480 |
| Administrative Mailing Address | 2767 CULTRA RD, CONWAY, SC, 29526-3716 |
| Enumeration & Last Sync | Enumerated: 2015-03-04 | CMS Record Updated: 2022-04-20 |
| Authorized Official | RICHARD KLINE (Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207LP2900X)
What Does Taxonomy Code 207LP2900X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207LP2900X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ATLANTIC COAST PAIN SPECIALISTS, INC)
Typical CPT / Diagnostic Procedures:- General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
- Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
- Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks
- Propofol, Sevoflurane, Rocuronium & Sugammadex
- Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
225100000X — Physical TherapistPlain English: Licensed & Credentialed Respiratory, Developmental, Rehabilitative & Restorative Service Providers — Physical Therapist | State: N/A | License: Verified | Primary: Secondary |
207L00000X — AnesthesiologyPlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: N/A | License: Verified | Primary: Secondary |
207LP2900X — Anesthesiology, Pain MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: SC | License: 20364 | Primary: Secondary |
207QA0505X — Family Medicine, Adult MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: N/A | License: Verified | Primary: Secondary |
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: N/A | License: Verified | Primary: Secondary |
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: N/A | License: Verified | Primary: Secondary |
207LP2900X — Anesthesiology, Pain MedicinePlain English: Board-Certified Anesthesiologist & Interventional Pain Specialist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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