Individual provider Active NPI

Sandeep Datta, MD

  • Interventional Pain Medicine Physician
  • Macon, GA
National Provider Identifier
1477546166
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
050473 Issued in GA
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

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
580628385OtherGATRICARE
P00160070OtherRAILROAD MEDICARE
000937637FMedicaidGA
000937637IMedicaidGA
670890OtherGAWELLCARE
P01049978OtherGARAILROAD MEDICARE
000937637DMedicaidGA
000937637HMedicaidGA
913282OtherBLUE CROSS BLUE SHIELD
000937637CMedicaidGA
01652025OtherGAAMERIGROUP
000937637BMedicaidGA
000937637EMedicaidGA

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
I20040924000468 GA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 4880662055 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Hemlock Pain Center, LLC.Group PAC ID 8224076997, 4 clinicians

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 Hospital, Milledgeville, GA, CCN 110150
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Hemlock Pain Center, LLC Anesthesiology CurrentSince Sep 14, 2015 Accepting new patients
The Hemlock Pain Center, LLC Anesthesiology CurrentSince Sep 14, 2015 Accepting new patients
Hemlock Ambulatory Surgery Center Current Accepting new patients
Guardian Medical Services, LLC CurrentSince Nov 5, 2016 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

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

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"
        },
        {
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            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00160070",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "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",
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            "identifier": "000937637D",
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            "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

Verify at the official NPI Registry.