Pavilion Spine Surgery Center LLC
NPI 1548459860 · Ambulatory Surgical Clinic/Center · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pavilion Spine Surgery Center LLC is a Ambulatory Surgical Clinic/Center organization in Atlanta, GA (NPI 1548459860).
Provider details
- NPI number
- 1548459860
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kamal Kabakibou, Owner/President(404) 603-9090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
75 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Substance Into Lower Spine Canal Using Imaging Guidance62323 | 38 | $350 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 26 | $750 |
| Removal of Bone From Lower Spine for Decompression of Nerve Tissue Using Imaging Guidance, Accessed Through the Skin0275T | 11 | $4,995 |
Typical Medicare-allowed amounts for these services range $350–$4,995 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2007-10-23
Frequently asked questions
- What is Pavilion Spine Surgery Center LLC's NPI number?
- Pavilion Spine Surgery Center LLC's National Provider Identifier (NPI) is 1548459860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pavilion Spine Surgery Center LLC?
- Pavilion Spine Surgery Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pavilion Spine Surgery Center LLC located?
- Pavilion Spine Surgery Center LLC's practice location on file with NPPES is 3193 Howell Mill Rd Nw, Atlanta, GA 30327-2119.
- What is Pavilion Spine Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Pavilion Spine Surgery Center LLC is (404) 603-9090.
- Does Pavilion Spine Surgery Center LLC accept Medicare?
- Pavilion Spine Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pavilion Spine Surgery Center LLC?
- The authorized official listed on Pavilion Spine Surgery Center LLC's NPPES record is Kamal Kabakibou, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pavilion Spine Surgery Center LLC's NPI active?
- Yes — Pavilion Spine Surgery Center LLC's NPI (1548459860) is active in the NPPES registry as of the last update on 2007-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.