Individual provider Active NPI

Michael D Dykes, MD

  • Interventional Pain Medicine Physician
  • Statesboro, GA
National Provider Identifier
1164456240
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
05BDLQK Issued in GA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060503000713 TN Practitioner - AnesthesiologyPractitioner - Pain Management 9739083031 Reassigns benefits to 1 organization
I20070524000443 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9739083031 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
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
Georgia Pain Institute. LLCGroup PAC ID 1557254844, 5 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0000026586TNMDPain Medicine Physician
05BDLQKGAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Pain Institute. LLC Pain Medicine CurrentSince Oct 11, 2024 Accepting new patients
Macon Pain Center, P.C. CurrentSince Oct 7, 2024 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Dec 29, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGBFAD
  • Direct secure messaging: 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.

View all 16

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",
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            "postal_code": "304580800",
            "telephone_number": "800-827-6536",
            "fax_number": "912-644-5260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "821 S Main St Ste C",
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            "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",
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            "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",
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            "country_code": "US",
            "telephone_number": "800-827-6536",
            "country_name": "United States",
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        },
        {
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            "postal_code": "310212904",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "country_name": "United States",
            "address_type": "DOM"
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        {
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            "postal_code": "313133991",
            "country_code": "US",
            "telephone_number": "800-827-6536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "257 S Main St",
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            "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

Sources for this page

Verify at the official NPI Registry.