Individual provider Active NPI

Parisa Mansoori, MD

  • Dermatopathology Physician
  • Atlanta, GA
National Provider Identifier
1366862203
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
83659 Issued in GA
Practice address
1901 Phoenix Blvd Ste 210
Atlanta, GA 30349
Phone
(615) 221-4400
NPI assigned
Apr 18, 2014
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 59999 TN
Dermatopathology Physician 207ND0900X 83659 GA Primary

Addresses

Primary practice location

1901 Phoenix Blvd Ste 210
Atlanta, GA 30349

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

Other practice location 1

Department Of Pathology Wake Forest School
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190903001688 GA Practitioner - Pathology 9931416567 Reassigns benefits to 1 organization
I20221130001759 TN Practitioner - Pathology 9931416567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

1901 Phoenix Blvd
Suite 210
Atlanta, GA 30349-5062
Phone (615) 221-4474

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1329

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59999TNMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 11, 2019 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

1901 Phoenix Blvd
Ste 210
Atlanta, GA 30349
Phone (800) 994-1030

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1366862203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PHOENIX BLVD STE 210",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "615-221-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Department Of Pathology Wake Forest School",
            "address_2": "Medical Center Boulevard",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOORI",
        "first_name": "PARISA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "59999",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "83659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.