Active NPI
Ocmulgee Medical Pathology Association Inc
- Anatomic Pathology & Clinical Pathology Physician
- Macon, GA
National Provider Identifier
1093787657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 11D0982593
- Legal business name
- OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (478) 742-0093
- Fax
- (478) 741-9818
- NPI assigned
- Feb 7, 2006
- Organization subpart
- Yes
- Parent organization
- AMERIPATH INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward M Kramer
- Title
- VP
- Phone
- (610) 550-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 11D0982593 | GA | Primary |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
14275 Midway Rd
Suite 400
Addison, TX 75001-3614
Phone (214) 932-8029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI0777 | Other | GA | RR MEDICARE |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
5671 Peachtree Dunwoody Rd
Ste 660
Sandy Springs, GA 30342
Phone (404) 843-0090
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Brentwood, TN
- NPI 1528169620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398988800000",
"number": "1093787657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 MIDWAY RD",
"address_2": "SUITE 400",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013614",
"telephone_number": "214-932-8029",
"fax_number": "610-271-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "478-742-0093",
"fax_number": "478-741-9818"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERIPATH INC.",
"enumeration_date": "2006-02-07",
"last_updated": "2014-05-02",
"status": "A",
"authorized_official_last_name": "KRAMER",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "610-550-3000",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "11D0982593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CI0777",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.