Organization Active NPI

Prima Pathology, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Aiken, SC
National Provider Identifier
1457530263
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
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

Updated by the provider on Aug 14, 2014

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)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP4830MedicaidSC
DG9726OtherSCRAILRAOD MEDICARE

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.