Wayne L Bakotic, D.O.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

051017 Issued in GA

Practice address

6240 Shiloh Rd
Alpharetta, GA 30005-8347

Phone

(855) 422-5628

Fax

(205) 579-9387

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, MA2 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

Specialty

Pathology

Education

Nova Southeastern College of Osteo Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bakotic Pathology Associates, LLCGroup PAC ID 9436218617, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bakotic Pathology Associates, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Alpharetta, GA
  • NPI 1275858524
  Medicare reassignment Care Compare group NPD
• Strata Pathology Services, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lexington, MA
  • NPI 1215942933
  Medicare reassignment NPD
• Bakotic Pathology Associates, LLC

  • Clinical Medical Laboratory
  • Alpharetta, GA
  • NPI 1184814014
  NPD
• Bakotic Pathology Associates, LLC

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1629781752
  NPD
• Strata Pathology Services Inc

  • Clinical Medical Laboratory
  • Lexington, MA
  • NPI 1568011864
  NPD
• Physician Laboratory Consultants LLC

  • Clinical Medical Laboratory
  • Thomasville, GA
  • NPI 1063840429
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1295798320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "telephone_number": "855-422-5628",
            "fax_number": "205-579-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 SHILOH RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058347",
            "telephone_number": "855-422-5628",
            "fax_number": "205-579-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKOTIC",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "051017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075954118A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neal Baker, PHD
• Bakotic Pathology Associates, LLC
• Bakotic Pathology Associates, LLC
• Bakotic Pathology Associates, LLC
• Bradley W. Bakotic, DO
• Surinder Kaur Bal, PHD
• Latha Balakrishnan, OT
• Balanced Life Family Counseling, LLC
• Casey Baldwin
• Kanah Balfour

• Dermatopathology (Pathology) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Dermatopathology (Pathology) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.