Active NPI
Pca of Columbia, Inc.
Doing business as Opus Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 2030
- Legal business name
- PCA OF COLUMBIA, INC.
- Doing business as
- Opus Pathology
PCA Southeast - Practice address
- 1602 Hatcher Lane
Columbia, TN 38401 - Phone
- (931) 490-1000
- Fax
- (931) 388-1548
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 24, 2026
- 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
- Danielle Gibson, MD
- Title
- Medical Director
- Phone
- (931) 490-1000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 2030 | TN | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 2030 | TN | |
| Immunopathology Physician | 207ZI0100X | 2030 | TN | |
| Anatomic Pathology Physician | 207ZP0101X | 2030 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2030 | TN | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 200241 | KY |
Addresses
Primary practice location
1602 Hatcher Lane
Columbia, TN 38401
Mailing address
1602 Hatcher LN
Columbia, TN 38401-4827
Phone (931) 490-1000
Other names 3
- Opus Pathology
- PCA Southeast
- PCA of Columbia Inc dba PCA Southeast
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080321000207 | TN | Part B Supplier - Independent Clinical Laboratory | 7810970589 | Practice locations: Columbia, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0659433 | Pca Southeast Inc | Accreditation | Feb 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
221 S Preston St
Louisville, KY 40202
Phone (502) 589-1980
1114 W Madison Ave
Athens, TN 37303
Phone (423) 744-3256
1800 Church St
Ste 109
Nashville, TN 37203
Phone (615) 329-1793
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
- NPI 1831135896
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
- NPI 1720141021
-
- Anatomic Pathology & Clinical Pathology Physician
- Knoxville, TN
- NPI 1205805272
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
- NPI 1801997408
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
- NPI 1457397416
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbia, TN
- NPI 1154696243
-
- Anatomic Pathology & Clinical Pathology Physician
- Columbus, OH
- NPI 1730612557
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Louisville, KY
- NPI 1073516423
Cytopathology
-
- Anatomic Pathology & Clinical Pathology Physician
- Bethlehem, PA
- NPI 1831249150
Cytopathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790208000000",
"number": "1497791420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 HATCHER LN",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014827",
"telephone_number": "931-490-1000",
"fax_number": "931-388-1548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 HATCHER LANE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-490-1000",
"fax_number": "931-388-1548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PCA OF COLUMBIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "931-490-1000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Cytopathology",
"state": "TN",
"license": "2030",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": "TN",
"license": "2030",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Immunopathology",
"state": "TN",
"license": "2030",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": "TN",
"license": "2030",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "2030",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "KY",
"license": "200241",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Opus Pathology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PCA Southeast",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PCA of Columbia Inc dba PCA Southeast",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.