Organization Active NPI

Associated Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1003863580
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ASSOCIATED PATHOLOGISTS, LLC
Practice address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone
(615) 221-4400
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Matthew Walker
Title
SVP, Revenue Cycle Managment
Phone
(615) 221-4400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0201X
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

1010 Airpark Center Dr
Nashville, TN 37217-5200

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

5301 Virginia Way
Suite 300
Brentwood, TN 37027-7541
Phone (615) 221-4474

Other practice location 2

2641 Rocky Ridge Ln
Vestavia Hills, AL 35216-4809
Phone (205) 879-2260

Other identifiers 12

IdentifierTypeStateIssuer
000000245996OtherKYANTHEM
10022261OtherILBLUE SHIELD
121418OtherTNUNISON TENNCARE
3220313OtherCIGNA HEALTHCARE
3540013OtherUNITED HEALTHCARE
529908380MedicaidAL
65932584MedicaidKY
3373077MedicaidTN
2006712OtherTNBLUE SHIELD
245996OtherINBLUE SHIELD
200131650MedicaidIN
8531590OtherAETNA

Other names 1

  • Associated Pathologists LLC dba PathGroup Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, KY, IL, IN, MO, WV, VA, NC, TX, AL, MS, AR, KS14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20040304000200 TN Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 103 practitioners
Practice locations: Crossville, TN; Union City, TN; Nashville, TN; Memphis, TN; Huntingdon, TN; Brentwood, TN; Chattanooga, TN; Covington, TN…
O20040920000532 GA Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 65 practitioners
Practice locations: Atlanta, GA; Macon, GA; Fort Oglethorpe, GA; Columbus, GA; Dalton, GA; Carrollton, GA
O20041227000098 KY Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 50 practitioners
Practice locations: Bowling Green, KY; Cadiz, KY; Glasgow, KY; Hopkinsville, KY; Lebanon, KY; Owensboro, KY
O20070626000241 IL Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrenceville, IL; Mount Carmel, IL
O20070716000207 IN Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 23 practitioners
Practice locations: Fort Wayne, IN; Warsaw, IN; Bluffton, IN
O20120921000243 MO Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 10 practitioners
Practice locations: Joplin, MO; Poplar Bluff, MO
O20140317001717 WV Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 18 practitioners
Practice locations: Beckley, WV; Berkeley Springs, WV; Romney, WV
O20150203001627 VA Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 32 practitioners
Practice locations: Front Royal, VA; Luray, VA; Salem, VA; Winchester, VA; Woodstock, VA
O20190620002644 NC Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 30 practitioners
Practice locations: Fayetteville, NC; Murphy, NC; Whiteville, NC
O20200720000349 TX Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 8 practitioners
Practice locations: Frisco, TX; Houston, TX; Plano, TX
O20210521000436 AL Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 44 practitioners
1 other NPI on this enrollment
Practice locations: Birmingham, AL; Wedowee, AL; Vestavia Hills, AL; Homewood, AL
O20211202001197 MS Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 49 practitioners
Practice locations: Booneville, MS; Jackson, MS; Meridian, MS; Oxford, MS; Southaven, MS
O20211206002118 AR Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 26 practitioners
Practice locations: West Memphis, AR
O20260112002973 KS Part B Supplier - Clinic/Group Practice 0648167544 Receives reassigned benefits from 11 practitioners
Practice locations: Pittsburg, KS; Fort Scott, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1901 Phoenix Blvd
Atlanta, GA 30349
Phone (770) 991-0913

1901 Phoenix Blvd
Ste 210
Atlanta, GA 30349
Phone (800) 994-1030

2520 E DuPont Rd
Ste 205
Fort Wayne, IN 46825

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

4071 S Access Rd
Chattanooga, TN 37406

4071 S Access Rd
Ste 107
Chattanooga, TN 37406

658 Grassmere Park
Nashville, TN 37211
Phone (866) 941-8398

10425 Huffmeister Rd
Ste 100
Houston, TX 77065
Phone (281) 640-7373

Practitioners & affiliated clinicians

Practitioners 260

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 260

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1003863580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 Virginia Way",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277541",
            "country_code": "US",
            "telephone_number": "615-221-4474",
            "fax_number": "615-234-3774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2641 Rocky Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352164809",
            "country_code": "US",
            "telephone_number": "205-879-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ASSOCIATED PATHOLOGISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SVP, REVENUE CYCLE MANAGMENT",
        "authorized_official_telephone_number": "615-221-4400"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000245996",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "10022261",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON TENNCARE",
            "identifier": "121418",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "3220313",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "3540013",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908380",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65932584",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3373077",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2006712",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "245996",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200131650",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8531590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Associated Pathologists LLC dba PathGroup",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Associated Pathologists LLC dba PathGroup",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.