Active NPI
Mary E Georoff, MD
- Anatomic Pathology & Clinical Pathology Physician
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 200501224
- Practice address
- 706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038 - Phone
- (336) 387-2500
- Fax
- (336) 387-2568
- NPI assigned
- Jan 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 200501224 | NC | Primary |
Addresses
Primary practice location
706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7038
Mailing address
1256 Thayer Dr
Asheboro, NC 27205-4143
Phone (336) 387-2500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260797200 | Medicaid | FL | |
| 1528046562 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151001003097 | NC | Practitioner - Pathology | 5597774752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
706 Green Valley Rd
Suite 104
Greensboro, NC 27408-7043
Phone (336) 387-2500
Hospital & facility affiliations
- Randolph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501224 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Pathology Services, Inc. | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Ameripath Florida LLC | Past | Accepting new patients | |
| Biopsy Diagnostics, LLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
Locations
706 Green Valley Rd
Ste 104
Greensboro, NC 27408
Phone (336) 271-4930
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 5
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.
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Clinical Medical Laboratory
- MC Lean, VA
- NPI 1245302009
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
-
- Anatomic Pathology & Clinical Pathology Physician
- Ridgeland, SC
- NPI 1689652216
Anatomic Pathology & Clinical Pathology
Hospital & facility affiliations 1
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": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1528046562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 THAYER DR",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "272054143",
"telephone_number": "336-387-2500",
"fax_number": "336-387-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 GREEN VALLEY RD",
"address_2": "SUITE 104",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274087038",
"telephone_number": "336-387-2500",
"fax_number": "336-387-2568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEOROFF",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "200501224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260797200",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528046562",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.