FX SPINE AND PERFORMANCE CENTER, LLC
NPI 1558970640
Anesthesiology - Pain Medicine in Evans, GA

Q: What is Fx Spine And Performance Center, LLC's NPI number?

The NPI number for Fx Spine And Performance Center, LLC is 1558970640. It was assigned to this organization in the NPPES registry on July 24, 2020.

Q: What is Fx Spine And Performance Center, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Active since July 24, 2020

106 SRP DR STE B, EVANS, GA 30809(706) 842-6800(706) 842-6780 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2020, Jul 30, 2020, Jul 24, 2020 (3 updates tracked since 2020).

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About Fx Spine And Performance Center, Llc NPPES

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

FX SPINE AND PERFORMANCE CENTER, LLC (NPI 1558970640) is a healthcare organization registered as a pain medicine in Evans, Georgia and active in the NPI registry since July 2020. The organization lists Nicholas Allan Deangelo, President, as its authorized official.

NPPES Registry Identity

NPI1558970640

Entity TypeOrganization

Primary Taxonomy207LP2900X

Legal Business NameFX SPINE AND PERFORMANCE CENTER, LLC

Location Address106 SRP DR STE BEvans, GA 30809-4358

Mailing Address824 Kestrel DrEvans, GA 30809-0328 · (717) 557-5926

Phone(706) 842-6800

Fax(706) 842-6780

Organization SubpartNo

Authorized OfficialNicholas Allan DeangeloPresident · (717) 557-5926

Enumeration DateJuly 24, 2020

Last NPPES UpdateDecember 3, 20203 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1558970640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

106 SRP DR STE B, Evans, GA 30809

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fx Spine And Performance Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fx Spine And Performance Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nicholas Deangelo, D.O.

Anesthesiology

NPI 1386604650

541 MELDON RD
Evans, GA 30809

(717) 557-5926

✔ PECOS✔ Accepts Medicare3.1 mi

Jessica Parker, NP

Nurse Practitioner

NPI 1114636859

887 W MARIETTA ST NW
Atlanta, GA 30318

(888) 772-0076

✔ PECOS✔ Accepts Medicare132 mi

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

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 Fx Spine And Performance Center, LLC's NPI number?

The NPI number for Fx Spine And Performance Center, LLC is 1558970640. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Fx Spine And Performance Center, LLC located?

Fx Spine And Performance Center, LLC is located at 106 Srp Dr Ste B, Evans, GA 30809. The listed phone number is (706) 842-6800.

What is Fx Spine And Performance Center, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Fx Spine And Performance Center, LLC enrolled in Medicare?

Yes. Fx Spine And Performance Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fx Spine And Performance Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Fx Spine And Performance Center, LLC, in Anesthesiology and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fx Spine And Performance Center, LLC was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.