Active NPI
Clinton Area Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Clinton, NC
National Provider Identifier
1306808969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 23358
- Legal business name
- CLINTON AREA PATHOLOGY SERVICES
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (910) 592-8511
- NPI assigned
- Apr 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Falvy Carl Barr Jr., MD
- Title
- Owner
- Phone
- (540) 776-9415
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 23358 | NC | Primary |
Addresses
Primary practice location
607 Beaman St
Clinton, NC 28328-2603
Mailing address
PO Box 20169
Roanoke, VA 24018-0506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890123G | Medicaid | NC | |
| 0123G | Other | NC | BCBS |
Other names 1
- Clinton Area Pathology Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Clinton, NC
- NPI 1982664660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681257600000",
"number": "1306808969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20169",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240180506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282603",
"telephone_number": "910-592-8511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON AREA PATHOLOGY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "BARR",
"authorized_official_first_name": "FALVY",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-776-9415",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "23358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890123G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0123G",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Clinton Area Pathology Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Clinton Area Pathology Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.