Active NPI
Michael D Dykes, MD
- Interventional Pain Medicine Physician
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 05BDLQK
- Practice address
- 1601 Fair Rd Ste 800
Statesboro, GA 30458-0800 - Phone
- (800) 827-6536
- Fax
- (912) 644-5260
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 22, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 059148 | GA | |
| Pain Medicine Physician | 208VP0000X | 0000026586 | TN | |
| Interventional Pain Medicine Physician | 208VP0014X | 05BDLQK | GA | Primary |
Addresses
Primary practice location
1601 Fair Rd Ste 800
Statesboro, GA 30458-0800
Mailing address
460 Mall Blvd Ste B
Savannah, GA 31406-4891
Phone (912) 644-5300
Other practice location 1
821 S Main St Ste C
Baxley, GA 31513-0163
Phone (127) 058-0409
Other practice location 2
101 W Mulberry Blvd Ste 140
Savannah, GA 31407-3507
Phone (800) 827-6536
Other practice location 3
602 E Long St
Claxton, GA 30417-5914
Phone (800) 827-6536
Other practice location 4
242 Industrial Blvd
Dublin, GA 31021-2904
Phone (800) 827-6536
Other practice location 5
790 Veterans Pkwy Ste 111
Hinesville, GA 31313-3991
Phone (800) 827-6536
Other practice location 6
257 S Main St
Reidsville, GA 30453-4605
Phone (800) 827-6536
Other practice location 7
961 E Winthrope Ave
Millen, GA 30442-1839
Phone (800) 827-6536
Other practice location 8
322 Stephenson Ave Ste A
Savannah, GA 31405-4345
Phone (800) 827-6536
Other practice location 9
303 Harris Industrial Blvd
Vidalia, GA 30474-8853
Phone (912) 537-0888
Other practice location 10
16915 Highway 67 Ste A
Statesboro, GA 30458-5819
Phone (912) 681-2500
Other practice location 11
102 Rocky Ford Rd
Sylvania, GA 30467-2044
Phone (800) 827-6536
Other practice location 12
119 Victory Dr Ste B
Swainsboro, GA 30401-3234
Phone (800) 827-6536
Other practice location 13
305 Pineview Dr
Waycross, GA 31501-5229
Phone (912) 644-5300
Other practice location 14
425 N Cobb St
Milledgeville, GA 31061-2634
Phone (912) 644-5300
Other practice location 15
60 Exchange St Ste B1
Richmond Hill, GA 31324-7646
Phone (800) 827-6536
Other practice location 16
610 Sparta Rd
Sandersville, GA 31082-1860
Phone (800) 827-6536
Other practice location 17
501 Sparta Rd Ste 3
Sandersville, GA 31082-1371
Phone (800) 827-6536
Other practice location 18
42 Truman Rd
Hawkinsville, GA 31036-4644
Phone (478) 783-4190
Other practice location 19
1111 Glynco Pkwy Ste 30A
Brunswick, GA 31525-7930
Phone (912) 342-7112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- East Tennessee State University Quillen College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3356 Vineville Ave
Macon, GA 31204-2328
Phone (478) 476-9642
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.22 of 100
- Quality
- 71.46
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 59.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000026586 | TN | MD | Pain Medicine Physician |
| 05BDLQK | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pain Institute. LLC | Pain Medicine | Current | Accepting new patients |
| Macon Pain Center, P.C. | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Hutcheson Anesthesia & Pain Treatment, LLC | Anesthesiology | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Georgia Pain Institute. LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company LLC | Pain Medicine | Past | Accepting new patients |
| Tattnall Hospital Company, LLC | Pain Medicine | Past | Accepting new patients |
| Covenant Anesthesia Group, PC | Anesthesiology | Past | Accepting new patients |
| Pain Management, PLLC | Past | Accepting new patients | |
| Pain Management | Past | Accepting new patients |
Locations
100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301
202 Perry Hwy
Ste 101
Hawkinsville, GA 31036
Phone (478) 783-0200
3356 Vineville Ave
Macon, GA 31204
Phone (478) 476-9642
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGBFAD
- michaeldykes@apr.allscriptsdirect.net
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pain Institute of Georgia
- Pain Medicine Physician
- Macon, GA
- NPI 1265560379
-
- Ambulatory Surgical Clinic/Center
- Macon, GA
- NPI 1447388574
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
dba Pain Institute of Georgia
- Pain Medicine Physician
- Warner Robins, GA
- NPI 1396641791
-
- Anesthesiology Physician
- Fort Oglethorpe, GA
- NPI 1235228735
-
dba Optim Medical Center-Tattnall Reidsville
- Orthopaedic Surgery Physician
- Reidsville, GA
- NPI 1518613728
Pain Medicine
-
dba Optim Medical Center- Tattnall
- Neurological Surgery Physician
- Hawkinsville, GA
- NPI 1578197331
Pain Medicine
-
dba Optim Medical Center Tattnall Claxton
- Orthopaedic Surgery Physician
- Claxton, GA
- NPI 1164742367
Pain Medicine
-
dba Optim Medical Center-Tattnall Sandersville
- Orthopaedic Surgery Physician
- Sandersville, GA
- NPI 1306569520
Pain Medicine
-
dba Optim Medical Center - Tattnall
- Pain Medicine Physician
- Hinesville, GA
- NPI 1326409442
-
dba Optim Medical Center Tattnall Swainsboro
- Physical Medicine & Rehabilitation Physician
- Swainsboro, GA
- NPI 1467883892
Pain Medicine
-
dba Optim Medical Center Tattnall Dublin
- Internal Medicine Physician
- Dublin, GA
- NPI 1558878884
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1164456240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 MALL BLVD STE B",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314064891",
"telephone_number": "912-644-5300",
"fax_number": "706-378-1204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 FAIR RD STE 800",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304580800",
"telephone_number": "800-827-6536",
"fax_number": "912-644-5260"
}
],
"practiceLocations": [
{
"address_1": "821 S Main St Ste C",
"address_purpose": "LOCATION",
"city": "Baxley",
"state": "GA",
"postal_code": "315130163",
"country_code": "US",
"telephone_number": "127-058-0409",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W Mulberry Blvd Ste 140",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314073507",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "602 E Long St",
"address_purpose": "LOCATION",
"city": "Claxton",
"state": "GA",
"postal_code": "304175914",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "242 Industrial Blvd",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "GA",
"postal_code": "310212904",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 Veterans Pkwy Ste 111",
"address_purpose": "LOCATION",
"city": "Hinesville",
"state": "GA",
"postal_code": "313133991",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "257 S Main St",
"address_purpose": "LOCATION",
"city": "Reidsville",
"state": "GA",
"postal_code": "304534605",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "961 E Winthrope Ave",
"address_purpose": "LOCATION",
"city": "Millen",
"state": "GA",
"postal_code": "304421839",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "322 Stephenson Ave Ste A",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314054345",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "303 Harris Industrial Blvd",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304748853",
"country_code": "US",
"telephone_number": "912-537-0888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16915 Highway 67 Ste A",
"address_purpose": "LOCATION",
"city": "Statesboro",
"state": "GA",
"postal_code": "304585819",
"country_code": "US",
"telephone_number": "912-681-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "102 Rocky Ford Rd",
"address_purpose": "LOCATION",
"city": "Sylvania",
"state": "GA",
"postal_code": "304672044",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "119 Victory Dr Ste B",
"address_purpose": "LOCATION",
"city": "Swainsboro",
"state": "GA",
"postal_code": "304013234",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "305 Pineview Dr",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315015229",
"country_code": "US",
"telephone_number": "912-644-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "425 N Cobb St",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310612634",
"country_code": "US",
"telephone_number": "912-644-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Exchange St Ste B1",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313247646",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Sparta Rd",
"address_purpose": "LOCATION",
"city": "Sandersville",
"state": "GA",
"postal_code": "310821860",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 Sparta Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Sandersville",
"state": "GA",
"postal_code": "310821371",
"country_code": "US",
"telephone_number": "800-827-6536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "42 Truman Rd",
"address_purpose": "LOCATION",
"city": "Hawkinsville",
"state": "GA",
"postal_code": "310364644",
"country_code": "US",
"telephone_number": "478-783-4190",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Glynco Pkwy Ste 30A",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315257930",
"country_code": "US",
"telephone_number": "912-342-7112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYKES",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "059148",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "0000026586",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "05BDLQK",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- Martiya Lachar Dunn
- Durden & Riggs Pharmacy (Riggs Pharmacy)
- Kim G Durfee, LPC
- George William Durrell IV, PA-C
- Elizabeth Durst
- Deborah Susan Dzurinko, MPT
- E Plus Statesboro Cancer Care, LLC (South Georgia Center for Cancer Care)
- Eagle Eye Care
- Cole Samuel Eakin, MATRN, ATC
- Ear, Nose, & Throat Associates of Savannah, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.