Southern Pathology and Laboratory Services, PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

028340 Issued in GA

Legal business name

SOUTHERN PATHOLOGY AND LABORATORY SERVICES, PC

Practice address

126 Hwy 280
Americus, GA 31719-8645

Phone

(229) 931-1320

NPI assigned

Apr 4, 2006

Last updated

Jan 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L Zornes, MDNPI 1740242999

Title

President

Phone

(229) 931-1320

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Lee Zornes, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Americus, GA
  • NPI 1740242999
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1356303515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6626",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317096626",
            "telephone_number": "229-439-7170",
            "fax_number": "229-431-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 HWY 280",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317198645",
            "telephone_number": "229-931-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PATHOLOGY AND LABORATORY SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "ZORNES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-931-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "028340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "511G701169",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Smith
• Sheldon Carroll Smith, RPH
• Spencer Reid Smith, RPH
• Carrie SMTH
• Shariah McKenzie Solomon, CNM, FNP-C
• Southland Branch Family Practice, LLC
• Southland Uro Gynecology ,LLC
• Southwest Georgia Center of Medicine, LLC
• Southwest Georgia Foot & Ankle Center
• Southwest Georgia Rehab, Inc

• Anatomic Pathology & Clinical Pathology Physician in Americus, GA
• Providers in Americus, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.

Verify at the official NPI Registry.