Individual provider Active NPI

Zane K Wade, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Athens, GA
National Provider Identifier
1366418493
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
052236 Issued in GA
Practice address
1230 Baxter St
Pathology Dept
Athens, GA 30606
Phone
(706) 389-2425
Fax
(706) 389-2426
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 052236 GA Primary

Addresses

Primary practice location

1230 Baxter St
Pathology Dept
Athens, GA 30606

Mailing address

PO Box 491270
Lawrenceville, GA 30049
Phone (706) 389-2425

Other identifiers 2

IdentifierTypeStateIssuer
529084968AMedicaidGA
P00194114OtherGARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000416 GA Practitioner - Pathology 1557333671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Georgia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S Medical Group, Inc.Group PAC ID 7113098393, 118 clinicians

Practice addresses (Care Compare)

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3000

Hospital & facility affiliations

  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329
  • Ty Cobb Regional Medical Center, LLC Hospital, Lavonia, GA, CCN 110027
  • Mountain Lakes Medical Center Hospital, Clayton, GA, CCN 111336
  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052236GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary'S Medical Group, Inc Current Accepting new patients
Pathology and Laboratory Consultants of Athens LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2004 Accepting new patients
St. Mary'S Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2025 Accepting new patients

Locations

740 Prince Ave
Ste 2
Athens, GA 30606
Phone (706) 548-5488

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7598/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1366418493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491270",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30049",
            "telephone_number": "706-389-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "address_2": "PATHOLOGY DEPT",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-389-2425",
            "fax_number": "706-389-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "ZANE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "052236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529084968A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00194114",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.