Pathology Consultants of Augusta, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PATHOLOGY CONSULTANTS OF AUGUSTA, P.C.

Practice address

3540 Wheeler Rd
Suite 617
Augusta, GA 30909-1871

Phone

(706) 731-5831

Fax

(706) 731-5831

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Richard K Dover, M.D.NPI 1447303144

Title

Ceo

Phone

(706) 731-5831

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard K Dover, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Augusta, GA
  • NPI 1447303144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1578960456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 617",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-731-5831",
            "fax_number": "706-731-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD",
            "address_2": "SUITE 617",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091871",
            "telephone_number": "706-731-5831",
            "fax_number": "706-731-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY CONSULTANTS OF AUGUSTA, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DOVER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-731-5831",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2087298",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarak Vipinchandra Patel, M.D.
• Tejalben Patel, PA
• Vijaykumar Surendrakant Patel, MD
• Yash Nileshkumar Patel, DO
• Zalak Ramanlal Patel, MBBS MD
• Mariajose Jhamira Paton
• Patricia M. Hannan
• Austin Patrick Eisenberg, DO
• Dale E Patrick, O.D.
• William Ry Patrick, M.D.

• Clinical Medical Laboratory in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.