Active NPI
Sandeep Datta, MD
- Interventional Pain Medicine Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 050473
- Practice address
- 101 Preston CT
Suite 103
Macon, GA 31210-5772 - Phone
- (478) 745-2385
- Fax
- (478) 745-1225
- NPI assigned
- Aug 26, 2005
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 050473 | GA | |
| Anesthesiology Physician | 207L00000X | 050473 | GA | |
| Pain Medicine Physician | 208VP0000X | 050473 | GA | |
| Interventional Pain Medicine Physician | 208VP0014X | 050473 | GA | Primary |
Addresses
Primary practice location
101 Preston CT
Suite 103
Macon, GA 31210-5772
Mailing address
101 Preston CT Ste 103
Macon, GA 31210-5771
Phone (478) 745-2385
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 580628385 | Other | GA | TRICARE |
| P00160070 | Other | RAILROAD MEDICARE | |
| 000937637F | Medicaid | GA | |
| 000937637I | Medicaid | GA | |
| 670890 | Other | GA | WELLCARE |
| P01049978 | Other | GA | RAILROAD MEDICARE |
| 000937637D | Medicaid | GA | |
| 000937637H | Medicaid | GA | |
| 913282 | Other | BLUE CROSS BLUE SHIELD | |
| 000937637C | Medicaid | GA | |
| 01652025 | Other | GA | AMERIGROUP |
| 000937637B | Medicaid | GA | |
| 000937637E | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040924000468 | GA | Practitioner - Anesthesiology | 4880662055 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Hemlock Pain Center, LLC.
Practice addresses (Care Compare)
101 Preston CT
Macon, GA 31210-5771
Phone (478) 745-2385
202 Fairview Park Dr
Dublin, GA 31021-2547
Phone (478) 219-3745
312 Margie Dr
Warner Robins, GA 31088-8913
Phone (478) 745-2385
750 N Cobb St
Suite 150
Milledgeville, GA 31061-7170
Phone (478) 284-0670
Hospital & facility affiliations
- Navicent Health Baldwin
- Northside Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hemlock Pain Center, LLC | Anesthesiology | Current | Accepting new patients |
| The Hemlock Pain Center, LLC | Anesthesiology | Current | Accepting new patients |
| Hemlock Ambulatory Surgery Center | Current | Accepting new patients | |
| Guardian Medical Services, LLC | Current | Accepting new patients | |
| Southeastern Anesthesia and Pain Management Group, PC | Anesthesiology | Past | Accepting new patients |
| The Hemlock Pain Center, LLC | Anesthesiology | Past | Accepting new patients |
Locations
202 Fairview Park Dr
Ste 100
Dublin, GA 31021
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
101 Preston Ct
Ste 103
Macon, GA 31210
Phone (478) 745-2385
101 Preston Ct
Ste 104
Macon, GA 31210
Phone (478) 745-2385
750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
200 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 953-0120
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JFHCAA
- sandeep.datta@hml.eclinicaldirectplus.com
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 and National Provider Directory roles.
-
- Ambulatory Surgical Clinic/Center
- Macon, GA
- NPI 1427307578
-
- Interventional Pain Medicine Physician
- Milledgeville, GA
- NPI 1194279141
Anesthesiology
-
- Anesthesiology Physician
- Statesboro, GA
- NPI 1285603779
Anesthesiology
-
- Interventional Pain Medicine Physician
- Dublin, GA
- NPI 1487185500
Anesthesiology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1477546166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PRESTON CT STE 103",
"city": "MACON",
"state": "GA",
"postal_code": "312105771",
"telephone_number": "478-745-2385",
"fax_number": "478-745-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PRESTON CT",
"address_2": "SUITE 103",
"city": "MACON",
"state": "GA",
"postal_code": "312105772",
"telephone_number": "478-745-2385",
"fax_number": "478-745-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATTA",
"first_name": "SANDEEP",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GA",
"license": "050473",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "050473",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "050473",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "050473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "580628385",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00160070",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637I",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "670890",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01049978",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "913282",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01652025",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000937637E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.