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PCA INTERVENTIONAL SPINE AT MACQUARIUM
NPI 1053719393
Clinic/Center - Pain in Atlanta, GA

Active since December 19, 2014CLIA Certified · 2 labs
1800 PEACHTREE ST NW, SUITE 775, ATLANTA, GA 30309(404) 351-7654(770) 692-6082 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2020, Jan 2, 2020 (2 updates tracked since 2020).

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

NPI1053719393
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePCA INTERVENTIONAL SPINE AT MACQUARIUM
Location Address1800 PEACHTREE ST NW, SUITE 775Atlanta, GA 30309-2519
Mailing AddressPo Box 40166Belfast, ME 04915-1241 · (678) 971-4167 · Fax (833) 989-2501
Phone(404) 351-7654
Fax(770) 692-6082
Organization SubpartNo
Authorized OfficialRodrigo DuraldeOwner/medical Director · (404) 351-7654
Enumeration DateDecember 19, 2014
Last NPPES UpdateFebruary 20, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1053719393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1800 PEACHTREE ST NW, Atlanta, GA 30309
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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, GA
Active · expires Nov 24, 2026
CLIA Number11D2084142
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 25, 2024
Certificate Expiration DateNovember 24, 2026
Laboratory DirectorRodrigo Duralde
Laboratory Phone(404) 351-7654
Laboratory LocationPca Interventional Spine At Macquarium, LLC1800 Peachtree Street Suite 775, Atlanta, GA 30309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2130828

Pca Interventional Spine At Fayette, LLC · Fayetteville, GA
Active · expires May 17, 2027
CLIA Number11D2130828
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDuralde Rodrigo
Laboratory Phone(404) 351-7654
Laboratory LocationPca Interventional Spine At Fayette, LLC1233 Highway 54 West, Suite 205, Fayetteville, GA 30214
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas 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.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
404 services182 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
271 services115 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
164 services56 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
118 services66 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
69 services29 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
61 services46 patients

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEITH M DOCKERY, MD PC
Audiologist
1800 PEACHTREE ST NW, SUITE 700
ATLANTA, GA 30309
Fulton County (404) 350-7966
PEACHTREE GYNECOLOGY, P.C.
Obstetrics & Gynecology (Gynecology)
1800 PEACHTREE ST NW, 650
ATLANTA, GA 30309
Fulton County (678) 539-5980
WILLIAM F KEETON MD
Pain Medicine (Interventional Pain Medicine)
1800 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Fulton County (404) 351-7654
SHARON HARLEY, MD., P.C.
Clinic/Center (Ambulatory Family Planning Facility)
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Fulton County (678) 904-5999
DR. RODRIGO A DURALDE M.D.
Pain Medicine (Interventional Pain Medicine)
1800 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Fulton County (404) 351-7654
DR. ELAINA FLOSSIE GEORGE M.D.
Specialist
1800 PEACHTREE ST NW, SUITE 650
ATLANTA, GA 30309
Fulton County (404) 591-9100
ATLANTA WOMENS SPECIALITY GROUP II LLC
Obstetrics & Gynecology
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Fulton County (678) 904-5999
SHARON HARLEY,MD., P.C.
Clinic/Center (Ambulatory Family Planning Facility)
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Fulton County (678) 904-5999

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.

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 February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.