PCA INTERVENTIONAL SPINE AT FAYETTE, LLC
PCA INTERVENTIONAL SPINE AT FAYETTE, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1447791074, based in Fayetteville, GA. The organization lists 2 taxonomy classifications, with Pain Clinic/Center recorded as primary.
Getting there
The practice address on file is 1233 HIGHWAY 54 W SUITE 205, Fayetteville, GA 30214. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| IN PROCESS | GA | Ambulatory Surgical Clinic/Center |
This provider holds licence IN PROCESS issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Ambulatory Surgical Center
- PAC ID
- 3476893645
- Enrollment ID
- O20190326001044
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Ambulatory Surgical Center. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pain covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QP3300X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QP3300X | Pain Clinic/Center Pain | — | — | primary |
| 261QA1903X | Ambulatory Surgical Clinic/Center Ambulatory Surgical | IN PROCESS | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1447791074 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Mar 15, 2017 |
| Last updated | Feb 20, 2026 |
| Status | Active |
| Practice address |
1233 HIGHWAY 54 W SUITE 205 Fayetteville, GA 30214 (404) 351-7654 |
| Mailing address |
PO BOX 40061 Belfast, ME 04915 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 4 | 7 | 7 | 9 | 1 | 0 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 8 | 7 | 5 | 9 | 2 | 0 | 5 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.