| Sackdinanh Nok Keomahathai, MD | |
|
650 Henderson Dr Ste 409, Cartersville, GA 30120-3758 | |
| (470) 274-2800 | |
| (800) 501-3088 |
| Full Name | Sackdinanh Nok Keomahathai |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 30 Years |
| Location | 650 Henderson Dr Ste 409, Cartersville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083775670 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Coosa Valley Home Health, An Amedisys | Rome, GA | Home health agency |
| Adventhealth Redmond | Rome, GA | Hospital |
| Piedmont Cartersville Medical Center | Cartersville, GA | Hospital |
| Adventhealth Gordon | Calhoun, GA | Hospital |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | Hospital |
| Adventhealth Redmond | Rome, GA | Inpatient rehabilitation facility |
| Wellstar Windy Hill Hospital | Marietta, GA | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health System Georgia Inc | 4486568037 | 247 |
| Interventional Pain Specialists Of Georgia Llc | 6709222730 | 2 |
| Entity Name | Adventist Health System Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699791343 PECOS PAC ID: 4486568037 Enrollment ID: O20031203000557 |
| Entity Name | Interventional Spine and Pain Management Center PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518012004 PECOS PAC ID: 2769483031 Enrollment ID: O20070130000066 |
| Entity Name | Interventional Pain Specialists of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205698396 PECOS PAC ID: 6709222730 Enrollment ID: O20240312002841 |
| Mailing Address | Practice Location Address |
|---|---|
| Sackdinanh Nok Keomahathai, MD 650 Henderson Dr Ste 409, Cartersville, GA 30120-3758 Ph: (470) 274-2800 | Sackdinanh Nok Keomahathai, MD 650 Henderson Dr Ste 409, Cartersville, GA 30120-3758 Ph: (470) 274-2800 |
Mr. Hammad Malik, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne Ste 301, Cartersville, GA 30121 Phone: 404-920-4950 |