Active NPI
George Atkinson, MD
- Anatomic Pathology Physician
- Roswell, NM
National Provider Identifier
1346227873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 94-182
- Practice address
- 600 N Richardson Ave
Roswell, NM 88201-4828 - Phone
- (505) 622-5600
- Fax
- (505) 622-3720
- NPI assigned
- Dec 27, 2005
- Last updated
- Jun 16, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 94-182 | NM | |
| Hematology (Pathology) Physician | 207ZH0000X | 94-182 | NM | |
| Immunopathology Physician | 207ZI0100X | 94-182 | NM | |
| Anatomic Pathology Physician | 207ZP0101X | 94-182 | NM | Primary |
Addresses
Primary practice location
600 N Richardson Ave
Roswell, NM 88201-4828
Mailing address
600 N Richardson Ave
Roswell, NM 88201-4828
Phone (505) 622-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52837 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160920001055 | NM | Order and Referring Only - Pathology | 0941379507 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-182 | NM | MD | Hematology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathology Consultants of New Mexico | Cytopathology | Current | Accepting new patients |
Locations
600 N Richardson Ave
Roswell, NM 88201
Phone (505) 622-5600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology Physician
- Roswell, NM
- NPI 1063498517
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1346227873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N RICHARDSON AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014828",
"telephone_number": "505-622-5600",
"fax_number": "505-622-3720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N RICHARDSON AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882014828",
"telephone_number": "505-622-5600",
"fax_number": "505-622-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "GEORGE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-27",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NM",
"license": "94-182",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "NM",
"license": "94-182",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "NM",
"license": "94-182",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NM",
"license": "94-182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52837",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.