NPI age
9 years
Enumerated 2017-03-15
● Active Type 2 · Organization
Pca Interventional Spine At Fayette, Llc
Pca Interventional Spine At Fayette, Llc is 1 of 58 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Duralde
Owner
Last NPPES update
2026-02-20
Source: monthly bulk 2026-05
How this organization compares
Across 58 active clinic/center providers in Georgia.
NPI age
9 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 29% of peers with subspecialties
NPI lifetime · 2017 → 2026
2017-03Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
1233 Highway 54 W, Suite 205
Fayetteville, GA 302144542
Mailing address
Po Box 40061
Belfast, ME 049151237
Authorized official
Rodrigo Duralde, MD
Owner
📞 4043517654
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 58 Clinic/Center providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.