SACKDINANH NOK KEOMAHATHAI (MD) – Interventional Pain Medicine Physician, NPI 1083775670
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
148 INTERVENTIONAL PAIN MANAGEMENT in GA
Provider Addresses for SACKDINANH NOK KEOMAHATHAI (MD)
110 EVANS MILL DR STE 804-805
DALLAS, GA 301571622
Phone: (770) 929-9033
Fax: (770) 929-9092
Type: Location
650 HENDERSON DR STE 409
CARTERSVILLE, GA 301203758
Phone: (470) 274-2800
Fax: (800) 501-3088
Type: Mailing
1900 THE EXCHANGE SE STE 200
ATLANTA, GA 303392022
Phone: (770) 291-8987
Type: Mailing
718 CHEROKEE ST NE
MARIETTA, GA 300607253
Phone: (770) 291-8987
Type: Location
Peachtree Road Northeast, Brookwood Hills, Atlanta, Fulton County, Georgia, 30363, United States
ATLANTA, GA 303262822
Phone: (770) 929-9033
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $3,000.
Total Amount is formed as General ($3,000) + Research ($0) + Ownership ($0) = $3,000.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($1,067).
Total Amount
$3,000
General + Research + Ownership
Payments
74
Total payment records
General Amount
$3,000
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $1,067 |
| Saluda Medical Americas, Inc. | $539 |
| Spinal Simplicity, LLC | $445 |
| Abbott Laboratories | $284 |
| Vertos Medical, Inc. | $139 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050203000156 | I | Interventional Pain Management | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 218 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 172 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 71 | $0 |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 22 | 11 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 22 | 18 | $0 |
Insurance plans in this area (ZIP 30157)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| N E U R O S U R G E R Y | GA | |
| Urology, Surgical Oncology | GA | |
| Internal Medicine | GA | |
| General Surgery | GA | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA |
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