Active NPI
Patrick David Kearns, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Rome, GA
National Provider Identifier
1083612501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 028022
- Practice address
- 311 W 8TH St NE
Rome, GA 30165-2723 - Phone
- (706) 291-8702
- Fax
- (706) 291-6514
- NPI assigned
- Jul 8, 2005
- Last updated
- Jul 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 028022 | GA | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 13929 | AL |
Addresses
Primary practice location
311 W 8TH St NE
Rome, GA 30165-2723
Mailing address
670 Rush Chapel Rd NE
Adairsville, GA 30103-5030
Phone (706) 232-4213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00345958A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13929 | AL | MD | Pharmacist |
| 028022 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Pathology, P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Rome, GA
- NPI 1407188345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1083612501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 RUSH CHAPEL RD NE",
"city": "ADAIRSVILLE",
"state": "GA",
"postal_code": "301035030",
"telephone_number": "706-232-4213",
"fax_number": "706-295-6514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W 8TH ST NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652723",
"telephone_number": "706-291-8702",
"fax_number": "706-291-6514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNS",
"first_name": "PATRICK",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "028022",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "13929",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00345958A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.