Individual provider Active NPI

Todd Dallas Cable, M.D.

  • Interventional Pain Medicine Physician
  • Evans, GA
National Provider Identifier
1225082506
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
046740 Issued in GA
Practice address
465 N Belair Rd Ste 3E
Evans, GA 30809-3191
Phone
(706) 922-3747
Fax
(706) 922-3751
NPI assigned
May 20, 2006
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 046740 GA Primary

Addresses

Primary practice location

465 N Belair Rd Ste 3E
Evans, GA 30809-3191

Mailing address

465 N Belair Rd Ste 3E
Evans, GA 30809-3191
Phone (706) 922-3747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061212000259 GA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7416852645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Internal Medicine Partners, LLC Current Accepting new patients
C & C MD PC Past Accepting new patients
Augusta Neuroscience PC Interventional Pain Medicine Past Accepting new patients
Neurological Asssociate of Augusta, PC Interventional Pain Medicine PastSince Sep 1, 2002 Accepting new patients
White-Wilson Medical Center PA Past Accepting new patients
Evans Procedure Center, LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23795/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1225082506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD STE 3E",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093191",
            "telephone_number": "706-922-3747",
            "fax_number": "706-922-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N BELAIR RD STE 3E",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093191",
            "telephone_number": "706-922-3747",
            "fax_number": "706-922-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABLE",
        "first_name": "TODD",
        "middle_name": "DALLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "046740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.