PCA INTERVENTIONAL SPINE AT FAYETTE, LLC
NPI 1447791074
Clinic/Center - Pain in Fayetteville, GA
About Pca Interventional Spine At Fayette, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PCA INTERVENTIONAL SPINE AT FAYETTE, LLC (NPI 1447791074) is a healthcare organization registered as a pain in Fayetteville, Georgia and active in the NPI registry since March 2017. The organization lists Rodrigo Duralde, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Fayette, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pca Interventional Spine At Fayette, LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
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 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 Fayette, LLC's NPI number?
The NPI number for Pca Interventional Spine At Fayette, LLC is 1447791074. It was assigned to this organization in the NPPES registry on March 15, 2017.
Where is Pca Interventional Spine At Fayette, LLC located?
Pca Interventional Spine At Fayette, LLC is located at 1233 Highway 54 W Suite 205, Fayetteville, GA 30214. The listed phone number is (404) 351-7654.
What is Pca Interventional Spine At Fayette, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Pca Interventional Spine At Fayette, LLC enrolled in Medicare?
Yes. Pca Interventional Spine At Fayette, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pca Interventional Spine At Fayette, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Pca Interventional Spine At Fayette, LLC. 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. The largest specialties are Interventional Pain Management (3), Anesthesiology (1) and Pain Management (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pca Interventional Spine At Fayette, LLC accept?
Health plans from Alliant Health Plans, Inc. list Pca Interventional Spine At Fayette, LLC 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.
When was this NPI record last updated?
The NPPES record for Pca Interventional Spine At Fayette, LLC 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 8 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 Fayette, Llc · NPI 1447791074
Pain organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since March 15, 2017.
## Identity
- **NPI:** 1447791074 (Entity type: Organization)
- **Enumerated:** March 15, 2017
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Rodrigo Duralde, OWNER
## Practice location
- **Address:** 1233 HIGHWAY 54 W, SUITE 205, Fayetteville, GA 30214-4542
- **Phone:** (404) 351-7654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Interventional Pain Management (3), Anesthesiology (1), Pain Management (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1447791074) · Data from the CMS NPPES public registry.