Active NPI
Jorge Miguel Oliver, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 052395
- Practice address
- 5301 Virginia Way
300
Brentwood, TN 37027-7541 - Phone
- (615) 221-4474
- Fax
- (615) 234-3774
- NPI assigned
- Feb 6, 2006
- Last updated
- Aug 8, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 052395 | GA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 052395 | GA | Primary |
Addresses
Primary practice location
5301 Virginia Way
300
Brentwood, TN 37027-7541
Mailing address
5301 Virginia Way
300
Brentwood, TN 37027-7541
Phone (615) 221-4474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 796318210A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1434 Broadrick Dr
Dalton, GA 30720-3009
Phone 7062785961114
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052395 | GA | MD | Cytopathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pathologists, LLC | Cytopathology | Current | Accepting new patients |
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| North Georgia Urology Center, PC, Inc | Current | Accepting new patients | |
| Associated Pathologists LLC | Past | Accepting new patients |
Locations
215 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 226-3434
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
1434 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-5961
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977
1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BGHABD
Organizations & group practices 4
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.
-
dba Associated Pathologists LLC dba PathGroup
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
Cytopathology, GA
-
- Urology Physician
- Dalton, GA
- NPI 1861413197
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
dba Anatomic Pathology Lab
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1356313217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY",
"address_2": "300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277541",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY",
"address_2": "300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277541",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "JORGE",
"middle_name": "MIGUEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "GA",
"license": "052395",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "052395",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "796318210A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.