Active NPI
Prima Pathology, P.a.
- Anatomic Pathology & Clinical Pathology Physician
- Aiken, SC
National Provider Identifier
1457530263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- PRIMA PATHOLOGY, P.A.
- Practice address
- 302 University Pkwy
Aiken, SC 29801-6302 - Phone
- (803) 641-5171
- Fax
- (803) 641-5486
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan D Pierce, M.D.
- Title
- President
- Phone
- (954) 633-1010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
302 University Pkwy
Aiken, SC 29801-6302
Mailing address
3200 Hunter Rd
Weston, FL 33331-3048
Phone (954) 384-6075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4830 | Medicaid | SC | |
| DG9726 | Other | SC | RAILRAOD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1457530263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 HUNTER RD",
"city": "WESTON",
"state": "FL",
"postal_code": "333313048",
"telephone_number": "954-384-6075",
"fax_number": "954-984-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 UNIVERSITY PKWY",
"city": "AIKEN",
"state": "SC",
"postal_code": "298016302",
"telephone_number": "803-641-5171",
"fax_number": "803-641-5486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMA PATHOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-633-1010",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP4830",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "DG9726",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.