Individual provider Active NPI

Paulie Papavassiliou-Bajic, MDPHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Conyers, GA
National Provider Identifier
1184868952
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
72068 Issued in GA
Practice address
1412 Milstead Avenue, N.E.
Department of Pathology
Conyers, GA 30012
Phone
(770) 918-3905
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME136213 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 292048-01 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D0082138 MD
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 72068 GA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2012-02379 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A155326 CA

Addresses

Primary practice location

1412 Milstead Avenue, N.E.
Department of Pathology
Conyers, GA 30012

Mailing address

1412 Milstead Avenue, N.E.
Department of Pathology
Conyers, GA 30012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140911001174 GA Practitioner - Pathology 0648499368 Reassigns benefits to 3 organizations
I20260518002698 CA Practitioner - Pathology 0648499368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Hope Medical Group of Georgia LLCGroup PAC ID 4880841212, 137 clinicians

Practice addresses (Care Compare)

600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
85.63
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.74 of 100Reported as group
Quality
63.81
Promoting interoperability
100
Improvement activities
40
Cost
57.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155326CAMDAnatomic Pathology & Clinical Pathology Physician
ME136213FLMDAnatomic Pathology & Clinical Pathology Physician
D0082138MDMDAnatomic Pathology & Clinical Pathology Physician
2012-02379NCMDAnatomic Pathology & Clinical Pathology Physician
292048-01NYMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology and Laboratory Medicine, PC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2014 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Aug 4, 2014 Accepting new patients
City of Hope Medical Foundation Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

3300 Buckeye Rd
Ste 178
Atlanta, GA 30341
Phone (770) 458-6101

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1184868952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MILSTEAD AVENUE, N.E.",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MILSTEAD AVENUE, N.E.",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30012",
            "telephone_number": "770-918-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPAVASSILIOU-BAJIC",
        "first_name": "PAULIE",
        "name_prefix": "Dr.",
        "credential": "MDPHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME136213",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "292048-01",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D0082138",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "72068",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2012-02379",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A155326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.