Organization Active NPI

Pca of Columbia, Inc.

Doing business as Opus Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, TN
National Provider Identifier
1497791420
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2030 Issued in TN
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Danielle Gibson, MDNPI 1831135896
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)CodeLicenseStatePrimary
Cytopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0500X 2030 TN
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X 2030 TN
Immunopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZI0100X 2030 TN
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X 2030 TN
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0102X 2030 TN Primary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • PCA Southeast Doing business as
  • PCA of Columbia Inc dba PCA Southeast Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080321000207 TN Part B Supplier - Independent Clinical Laboratory 7810970589 Practice locations: Columbia, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0659433Pca Southeast Inc1602 Hatcher Lane, Columbia, TN 38401AccreditationFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.