GEORGIA INTERVENTIONAL PAIN - H, LLC – Ambulatory Surgical Clinic/Center, NPI 1225627094
Ambulatory Surgical Clinic/Center
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GEORGIA INTERVENTIONAL PAIN - H, LLC
526 BANKHEAD HWY STE 102
CARROLLTON, GA 301172463
Phone: (770) 962-3642
Fax: (770) 962-3643
Type: Location
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 300468768
Phone: (770) 962-3642
Fax: (770) 962-3643
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2021-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (112 days away).
Enrollment records
1
Earliest due date
2026-09-30
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 |
|---|---|---|---|---|
| O20210311000685 | O | Ambulatory Surgical Center | GA | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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 |
|---|---|---|---|---|
| 64490 | Injection of upper or middle spine facet joint using imaging guidance, single level | 71 | 22 | $0 |
| G0260 | Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography | 66 | 33 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 65 | 22 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 45 | 27 | $0 |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | 25 | 13 | $0 |
Insurance plans in this area (ZIP 30117)
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