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SACKDINANH NOK KEOMAHATHAI MD
NPI 1083775670
Pain Medicine - Interventional Pain Medicine in Cartersville, GA

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
85.02/100
CMS Quality Rating
650 HENDERSON DR STE 409, CARTERSVILLE, GA 30120(470) 274-2800(800) 501-3088 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2024, Aug 29, 2022, Oct 28, 2020 and 1 more (4 updates tracked since 2017).

About Sackdinanh Nok Keomahathai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SACKDINANH NOK KEOMAHATHAI MD (NPI 1083775670) is an individual interventional pain medicine provider in Cartersville, Georgia, licensed in Georgia (051054) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Virginia Commonwealth University, School Of Medicine (1996).

NPPES Registry Identity

NPI1083775670
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameSACKDINANH NOK KEOMAHATHAICredential: MD
Location Address650 HENDERSON DR STE 409Cartersville, GA 30120-3758
Mailing Address650 Henderson Dr Ste 409Cartersville, GA 30120-3758 · (470) 274-2800 · Fax (800) 501-3088
Phone(470) 274-2800
Fax(800) 501-3088
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1996
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 19, 20244 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1083775670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in GA · 051054
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 051054 (GA)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 051054 (GA)
650 HENDERSON DR STE 409, Cartersville, GA 30120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sackdinanh Nok Keomahathai Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002867447
PECOS Enrollment IDI20050203000156
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sackdinanh Keomahathai reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interventional Pain Specialists Of Georgia LLC
Same address
Interventional Pain Medicine
650 HENDERSON DR STE 409
Cartersville, GA 30120
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1205698396 (470) 274-2800
The Interventional Spine And Pain Management Center PC
3.7 mi
Interventional Pain Medicine
15 MEDICAL DR NE, SUITE 301
Cartersville, GA 30121
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
NPI 1376999094 (770) 929-9033
Adventist Health System Georgia Inc
25 mi
Multi-Specialty
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 384 clinicians in this Medicare group
NPI 1699791343 (706) 602-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
499 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
91 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Piedmont Cartersville Medical Center

Acute Care Hospitals · Cartersville, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110030
Location960 Joe Frank Harris ParkwayCartersville, GA 30120 · Bartow County
Emergency services Birthing friendly

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.43
Promoting Interoperability100
Improvement Activities40
Cost60.65

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%654 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
82%135 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%319 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%1,154 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%151 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,154 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%1,154 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
50%1,154 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

INTERVENTIONAL PAIN SPECIALISTS OF GEORGIA LLC
Pain Medicine (Interventional Pain Medicine)
650 HENDERSON DR STE 409
CARTERSVILLE, GA 30120
Bartow County (470) 274-2800
KIMBERLY ANN STALLINGS NP-C
Nurse Practitioner
650 HENDERSON DR STE 409
CARTERSVILLE, GA 30120
Bartow County (470) 274-2800
DR. KENNETH W BYERS
Internal Medicine
650 HENDERSON DR STE 409
CARTERSVILLE, GA 30120
Bartow County (770) 387-3450

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 Sackdinanh Keomahathai's NPI number?

The NPI number for Sackdinanh Keomahathai is 1083775670. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Sackdinanh Keomahathai located?

Sackdinanh Keomahathai practices at 650 Henderson Dr Ste 409, Cartersville, GA 30120. The listed phone number is (470) 274-2800.

What is Sackdinanh Keomahathai's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Sackdinanh Keomahathai enrolled in Medicare?

Yes. Sackdinanh Keomahathai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sackdinanh Keomahathai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sackdinanh Keomahathai reassigns Medicare benefits to 3 organizations: Interventional Pain Specialists Of Georgia LLC (Cartersville, GA), The Interventional Spine And Pain Management Center PC (Cartersville, GA) and Adventist Health System Georgia Inc (Calhoun, GA). Each 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 Sackdinanh Keomahathai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sackdinanh Keomahathai accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Sackdinanh Keomahathai as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sackdinanh Keomahathai affiliated with any hospitals?

According to CMS data, Sackdinanh Keomahathai is affiliated with Adventhealth Gordon, Piedmont Cartersville Medical Center, Wellstar Paulding Medical Center and Redmond Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sackdinanh Keomahathai was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.