Pathology Group of the Midsouth PC

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

NA

Legal business name

PATHOLOGY GROUP OF THE MIDSOUTH PC

Practice address

7550 Wolf River Blvd
Suite 200
Germantown, TN 38138-1780

Phone

(901) 542-6801

Fax

(901) 542-6871

NPI assigned

Jul 3, 2006

Last updated

Oct 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Norman O Hill

Title

Executive Director

Phone

(901) 542-6801

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• PGM Pathology Group of the Midsouth Other name

Locations

Practitioners 1

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.

• Huiwen Bill Xie, MD

  • Anatomic Pathology Physician
  • Germantown, TN
  • NPI 1760412662
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1538199732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD",
            "address_2": "SUITE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381780",
            "telephone_number": "901-542-6801",
            "fax_number": "901-542-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY GROUP OF THE MIDSOUTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "901-542-6801"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "95562",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113467002",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE",
            "identifier": "73934",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CM0017",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3389000",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "9014734",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PGM Pathology Group of the Midsouth",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abagail Lee Pate, OTR/L
• Chandni Patel
• Mit Patel, M.D.
• Phalgun J. Patel, M.D.
• Purvisha J Patel, MD
• Latasha D Patillo-Jones, FNP
• Patrick R. Person, D.D.S., PLLC
• Patrick W. Kutas DDS
• Clay Patrick
• Mandy Anissa Patrick, PTA

• Anatomic Pathology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Anatomic Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.