PCA INTERVENTIONAL SPINE AT MACQUARIUM
NPI 1053719393
Clinic/Center - Pain in Atlanta, GA
About Pca Interventional Spine At Macquarium NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PCA INTERVENTIONAL SPINE AT MACQUARIUM (NPI 1053719393) is a healthcare organization registered as a pain in Atlanta, Georgia and active in the NPI registry since December 2014. The organization holds 2 active CLIA laboratory certificates and lists Rodrigo Duralde, Owner/medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pca Interventional Spine At Macquarium is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pca Interventional Spine At Macquarium, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
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 11D2084142
Pca Interventional Spine At Macquarium, LLC · Atlanta, GACertificate of Waiver 11D2130828
Pca Interventional Spine At Fayette, LLC · Fayetteville, GAAreas of Expertise CMS Part B claims 9
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Pca Interventional Spine At Macquarium's NPI number?
The NPI number for Pca Interventional Spine At Macquarium is 1053719393. It was assigned to this organization in the NPPES registry on December 19, 2014.
Where is Pca Interventional Spine At Macquarium located?
Pca Interventional Spine At Macquarium is located at 1800 Peachtree St NW Suite 775, Atlanta, GA 30309. The listed phone number is (404) 351-7654.
What is Pca Interventional Spine At Macquarium's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Pca Interventional Spine At Macquarium enrolled in Medicare?
Yes. Pca Interventional Spine At Macquarium is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pca Interventional Spine At Macquarium?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Interventional Pain Management, reassign their Medicare billing to Pca Interventional Spine At Macquarium. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pca Interventional Spine At Macquarium hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Pca Interventional Spine At Macquarium was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Pca Interventional Spine At Macquarium · NPI 1053719393
Pain organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since December 19, 2014.
## Identity
- **NPI:** 1053719393 (Entity type: Organization)
- **Enumerated:** December 19, 2014
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Rodrigo Duralde, OWNER/MEDICAL DIRECTOR
## Practice location
- **Address:** 1800 PEACHTREE ST NW, SUITE 775, Atlanta, GA 30309-2530
- **Phone:** (404) 351-7654 · **Fax:** (770) 692-6082
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Interventional Pain Management) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2026
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053719393) · Data from the CMS NPPES public registry.