PCA INTERVENTIONAL SPINE AT FAYETTE, LLC
NPI 1447791074
Clinic/Center - Pain in Fayetteville, GA

Active since March 15, 2017
1233 HIGHWAY 54 W, SUITE 205, FAYETTEVILLE, GA 30214(404) 351-7654 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2020, Jan 6, 2020, Jan 2, 2020 and 3 more (6 updates tracked since 2017).

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

NPI1447791074
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NamePCA INTERVENTIONAL SPINE AT FAYETTE, LLC
Location Address1233 HIGHWAY 54 W, SUITE 205Fayetteville, GA 30214-4542
Mailing AddressPo Box 40061Belfast, ME 04915-1237 · (678) 971-4167 · Fax (833) 989-2501
Organization SubpartNo
Authorized OfficialRodrigo DuraldeOwner · (404) 351-7654
Enumeration DateMarch 15, 2017
Last NPPES UpdateFebruary 20, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
NPI 1447791074 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 · License IN PROCESS (GA)
1233 HIGHWAY 54 W, Fayetteville, GA 30214

Accepted Insurance

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
366 services155 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.
278 services110 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.
181 services64 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.
150 services76 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.
42 services31 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.
35 services18 patients

Other Providers at the Same Location NPPES

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

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1233 HIGHWAY 54 W, SUITE 1
FAYETTEVILLE, GA 30214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447791074, enumerated as an "organization" on March 15, 2017.

The provider is located at 1233 HIGHWAY 54 W SUITE 205 FAYETTEVILLE, GA 30214 and the phone number is (404) 351-7654.

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

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.