P Praxis·MD
● Active Type 1 · Individual

MR. Sandeep Datta, MD

Pain Medicine·MacOn, GA· NPI 1477546166 · Enumerated 2005 · 20 years on NPI
Datta is 1 of 12 pain medicine providers in MacOn and 1 of 315 in Georgia.
NPI age
20 years
Enumerated 2005-08-26
Primary specialty
Pain Medicine
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-02-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 315 active pain medicine providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
3
In the 48% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
101 Preston Ct, Suite 103
MacOn, GA 312105772
📞 4787452385fax 4787451225
Mailing address
Po Box 116340
Atlanta, GA 303686340
📞 7068602701fax 7068606484

Specialties

  • Pain Medicine Primary
    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
    GA license #050473 taxonomy 208VP0014X
  • Anesthesiology
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    GA license #050473 taxonomy 207L00000X
  • Anesthesiology
    An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs...
    GA license #050473 taxonomy 207LP2900X
  • Pain Medicine
    Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention...
    GA license #050473 taxonomy 208VP0000X

Identifiers

TypeValueNotes
01 (GA) 580628385 TRICARE
01 P00160070 RAILROAD MEDICARE
05 (GA) 000937637F
05 (GA) 000937637I
01 (GA) 670890 WELLCARE
01 (GA) P01049978 RAILROAD MEDICARE
05 (GA) 000937637D
05 (GA) 000937637H
01 913282 BLUE CROSS BLUE SHIELD
05 (GA) 000937637C
01 (GA) 01652025 AMERIGROUP
05 (GA) 000937637B
05 (GA) 000937637E

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 315 Pain Medicine 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 provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related