OrganizationActive
Trident Pain Center LLC
NPI 1194138255 · Pain Medicine Physician · Walterboro, SC
Provider details
- NPI number
- 1194138255
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Nolan, Medical Director(843) 797-3636
- License
- 19839 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
205 Eddie Chasteen Dr
Walterboro, SC 29488-5728
Phone: (843) 797-3636
Street-level locationGet directions
Mailing address
9267 Medical Plaza Dr Ste G
North Charleston, SC 29406-9139
Registry dates
- Enumerated
- 2014-06-06
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.