Active NPI
Associated Pathologists LLC
- Dermatopathology (Pathology) Physician
- Mountain BRK, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- Legal business name
- ASSOCIATED PATHOLOGISTS LLC
- Practice address
- 3918 Montclair Rd Ste 105
Mountain BRK, AL 35213-2417 - Phone
- (615) 218-2454
- Fax
- (615) 234-3774
- NPI assigned
- Aug 18, 2021
- Last updated
- Aug 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Fravel
- Title
- Director of Managed Care
- Phone
- (615) 221-4474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | Primary |
Addresses
Primary practice location
3918 Montclair Rd Ste 105
Mountain BRK, AL 35213-2417
Mailing address
1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210521000436 | AL | Part B Supplier - Clinic/Group Practice | 0648167544 |
Receives reassigned benefits from 44 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Birmingham, AL; Wedowee, AL; Vestavia Hills, AL; Homewood, AL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Associated Pathologists LLC dba PathGroup
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
O20210521000436
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111
1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatopathology Physician
- Birmingham, AL
- NPI 1518198456
-
- Dermatopathology Physician
- Mountain BRK, AL
- NPI 1134157597
-
- Dermatopathology Physician
- Mountain BRK, AL
- NPI 1659893493
-
- Anatomic Pathology & Clinical Pathology Physician
- Birmingham, AL
- NPI 1649634445
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1285253229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1023784279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 AIRPARK CENTER DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372175200",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 MONTCLAIR RD STE 105",
"city": "MOUNTAIN BRK",
"state": "AL",
"postal_code": "352132417",
"telephone_number": "615-218-2454",
"fax_number": "615-234-3774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED PATHOLOGISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "FRAVEL",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
"authorized_official_telephone_number": "615-221-4474"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain BRK, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.