Organization Active NPI

Community Pathology Partners

  • Clinical Medical Laboratory
  • Statesboro, GA
National Provider Identifier
1194905786
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
COMMUNITY PATHOLOGY PARTNERS
Practice address
107 N College St
D
Statesboro, GA 30458-5388
Phone
(912) 678-1668
Fax
(703) 992-7215
NPI assigned
Nov 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Dr. Tom Carico, MD
Title
Managing Member
Phone
(912) 678-1668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X GA Primary

Addresses

Primary practice location

107 N College St
D
Statesboro, GA 30458-5388

Mailing address

PO Box 2697
Statesboro, GA 30459-2697
Phone (912) 678-1668

National Provider Directory

National Provider Directory

Locations

107 N College St
Ste D
Statesboro, GA 30458
Phone (912) 489-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1194905786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2697",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592697",
            "telephone_number": "912-678-1668",
            "fax_number": "703-991-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N COLLEGE ST",
            "address_2": "D",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585388",
            "telephone_number": "912-678-1668",
            "fax_number": "703-992-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PATHOLOGY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "CARICO",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "912-678-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.