PCA INTERVENTIONAL SPINE AT MACQUARIUM NPI 1053719393

NPI Details

PCA INTERVENTIONAL SPINE AT MACQUARIUM is a pain clinic center in Atlanta, GA. PCA INTERVENTIONAL SPINE AT MACQUARIUM NPI is 1053719393. The provider is registered as an organization entity type.

The provider's business location address is:

1800 PEACHTREE ST NW
SUITE 775
ATLANTA, GA
ZIP 30309-519
Phone: (404) 351-7654
Fax: (770) 692-6082

The provider's authorized official is Rodrigo Duralde .
The authorized official title is Owner/medical Director and has the following contact phone number (404) 351-7654.

The CLIA number assigned to this NPI record is 11D2084142 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography (HCPCS:G0260)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Destruction of nerve branches of knee using imaging guidance (HCPCS:64624)
• Insertion of spinal neurostimulator generator or receiver (HCPCS:63685)

The enumeration date for this NPI number is 12/19/2014 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: