NPIMap

Individual provider Active NPI

Jing Lu, M.D. PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, SC
National Provider Identifier
1205290475
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
91059 Issued in SC
Practice address
8 Memorial Medical CT
Greenville, SC 29605-4449
Phone
(864) 295-3492
Fax
(864) 295-4817
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2020-00083 NC
Student in an Organized Health Care Education/Training Program 390200000X NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 91059 SC Primary

Addresses

Primary practice location

8 Memorial Medical CT
Greenville, SC 29605-4449

Mailing address

8 Memorial Medical CT
Greenville, SC 29605-4449
Phone (864) 295-3492

Other practice location 1

Department Of Pathology
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210602001049 NC Practitioner - Pathology 8022301407 Reassigns benefits to 1 organization
I20231204002007 SC Practitioner - Pathology 8022301407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of GreenvilleGroup PAC ID 9537072897, 33 clinicians

Practice addresses (Care Compare)

701 Grove Rd
Greenville, SC 29605-4210
Phone (864) 295-3492

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00083NCMDAnatomic Pathology & Clinical Pathology Physician
91059SCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates of Greenville PA Anatomic Pathology & Clinical Pathology CurrentSince Oct 23, 2023 Accepting new patients
Cabarrus Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2022 Accepting new patients
Pathology Consultants, Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

920 Church St N
Concord, NC 28025
Phone (704) 403-3000

8 Memorial Medical Ct
Ste 1
Greenville, SC 29605
Phone (864) 295-3492

8 Memorial Medical Ct
Greenville, SC 29605
Phone (864) 269-9899

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

Organizations & group practices 3

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 57

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

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1205290475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054449",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEMORIAL MEDICAL CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054449",
            "telephone_number": "864-295-3492",
            "fax_number": "864-295-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Pathology",
            "address_2": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "credential": "M.D. PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2020-00083",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "91059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.