Individual provider Active NPI

Jeff W Byrd, M.D.

  • Anatomic Pathology Physician
  • Thomasville, GA
National Provider Identifier
1396708558
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
018100 Issued in GA
Practice address
130 N Broad St
Thomasville, GA 31792-8132
Phone
(229) 228-6496
Fax
(229) 228-6510
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 018100 GA Primary

Addresses

Primary practice location

130 N Broad St
Thomasville, GA 31792-8132

Mailing address

130 N Broad St
P.O. Box 2717
Thomasville, GA 31792-8132
Phone (229) 228-6496

Other identifiers 1

IdentifierTypeStateIssuer
00269761AMedicaidGA

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
I20101117000178 GA Practitioner - Pathology 7315920675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical College of Georgia School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates, P.C.Group PAC ID 0143214460, 4 clinicians

Practice addresses (Care Compare)

130 N Broad St
Thomasville, GA 31792-8132
Phone (229) 228-6496

915 Gordon Ave
Thomasville, GA 31792-6614
Phone (229) 228-6496

Hospital & facility affiliations

  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Grady General Hospital Hospital, Cairo, GA, CCN 110121
  • Archbold Brooks Hospital, Quitman, GA, CCN 111332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Associates, P.C. Anatomic Pathology CurrentSince Jul 1, 1966 Accepting new patients
Physician Laboratory Consultants LLC Past Accepting new patients

Locations

130 N Broad St
Thomasville, GA 31792
Phone (229) 228-6496

114 Mimosa Dr
Thomasville, GA 31792
Phone (229) 228-6496

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

5700 Southwyck Blvd
Toledo, OH 43614

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 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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1396708558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N BROAD ST",
            "address_2": "P.O. BOX 2717",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928132",
            "telephone_number": "229-228-6496",
            "fax_number": "229-228-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N BROAD ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928132",
            "telephone_number": "229-228-6496",
            "fax_number": "229-228-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JEFF",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "GA",
            "license": "018100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00269761A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.