Access Dermpath, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ACCESS DERMPATH, INC.

Practice address

3435 Second St S
Folkston, GA 31537-8447

Phone

(912) 390-0058

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vicki Tilton

Title

Director

Phone

(352) 241-6280

Specialties & licenses 1

Addresses

Tax ID family

Access Dermpath Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Access Dermpath, Inc.

  • Clinical Medical Laboratory
  • Tifton, GA
  • NPI 1023684453
  NPD tax ID
• Access Dermpath, Inc.

  • Clinical Medical Laboratory
  • Waycross, GA
  • NPI 1437724879
  NPD tax ID

Locations

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1114593548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 S HIGHWAY 27 STE 201",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 SECOND ST S",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315378447",
            "telephone_number": "912-390-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DERMPATH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-241-6280"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Edward Abdelmalik, M.D.
• Amelia Medical Services, LLC (Amelia Medical Care, Folkston)
• Betty Barber, COTA
• Pauline Marie Bellecci, M.D.
• Bennett's Hometown Pharmacy, LLC-Folkston
• Vanessa Bieber, CRNP

• Clinical Medical Laboratory in Folkston, GA
• Providers in Folkston, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.