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

NPI Status: Active since December 19, 2014

Contact Information

1800 PEACHTREE ST NW
SUITE 775
ATLANTA, GA
ZIP 30309
Phone: (404) 351-7654
Fax: (770) 692-6082

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  • Organization
  • Clinic/Center
  • Pain
  • CLIA Number: 11D2130828
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-17-2027

About PCA INTERVENTIONAL SPINE AT MACQUARIUM

This page provides the complete NPI Profile along with additional information for Pca Interventional Spine At Macquarium, a provider established in Atlanta, Georgia operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1053719393 assigned on December 2014. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Rodrigo Duralde M.d. (Owner/medical Director)

NPI
1053719393
Provider Name
PCA INTERVENTIONAL SPINE AT MACQUARIUM
Entity Type
Organization
Location Address
1800 PEACHTREE ST NW SUITE 775 ATLANTA, GA 30309
Location Phone
(404) 351-7654
Location Fax
(770) 692-6082
Mailing Address
PO BOX 40166 BELFAST, ME 04915
Mailing Phone
(678) 971-4167
Mailing Fax
(770) 692-6082
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-19-2014
Last Update Date
02-20-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Pain

Taxonomy Code
261QP3300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RODRIGO DURALDE M.D.

Authorized Official Title
OWNER/MEDICAL DIRECTOR
Authorized Official Phone
(404) 351-7654

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 52 times for 34 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

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.

This service was performed 143 times for 70 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 26 times for 17 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

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.

This service was performed 482 times for 205 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

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.

This service was performed 184 times for 63 patients

Injection of substance into middle or upper spine canal using imaging guidance

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.

This service was performed 46 times for 31 patients

Injection of upper or middle spine facet joint using imaging guidance, single level

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.

This service was performed 55 times for 23 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

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.

This service was performed 230 times for 105 patients

Insertion of spinal neurostimulator electrode array through skin

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

This service was performed 30 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2130828
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 18, 2025
Certificate Expiration Date
May 17, 2027
Laboratory Director
DURALDE RODRIGO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pca Interventional Spine At Macquarium to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053719393, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 1 + 1 + 8 + 3 + 1 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053719393.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Family Planning Facility)
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Clinic/Center (Ambulatory Family Planning Facility)
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Pain Medicine (Interventional Pain Medicine)
1800 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Audiologist
1800 PEACHTREE ST NW, SUITE 700
ATLANTA, GA 30309
Clinic/Center
1800 PEACHTREE ST NW, SUITE 420
ATLANTA, GA 30309
Durable Medical Equipment & Medical Supplies
1800 PEACHTREE ST NW, SUITE 455
ATLANTA, GA 30309
Acupuncturist
1800 PEACHTREE ST NW, SUITE 420
ATLANTA, GA 30309
Obstetrics & Gynecology
1800 PEACHTREE ST NW, SUITE 450
ATLANTA, GA 30309
Allergy & Immunology (Allergy)
1800 PEACHTREE ST NW, SUITE 720
ATLANTA, GA 30309
Nurse Practitioner (Family)
1800 PEACHTREE ST NW, SUITE 800
ATLANTA, GA 30309
Specialist
1800 PEACHTREE ST NW, SUITE 650
ATLANTA, GA 30309
Pain Medicine (Interventional Pain Medicine)
1800 PEACHTREE ST NW, SUITE 400
ATLANTA, GA 30309
Obstetrics & Gynecology (Gynecology)
1800 PEACHTREE ST NW, 650
ATLANTA, GA 30309
Nurse Practitioner (Family)
1800 PEACHTREE ST NW
ATLANTA, GA 30309
Dental Hygienist
1800 PEACHTREE ST NW
ATLANTA, GA 30309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053719393, enumerated as an "organization" on December 19, 2014.

The provider is located at 1800 PEACHTREE ST NW SUITE 775 ATLANTA, GA 30309 and the phone number is (404) 351-7654.

Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.