Southwestern Pathology Associates, LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

SOUTHWESTERN PATHOLOGY ASSOCIATES, LLC

Practice address

2122 Manchester Expy
St. Francis Hospital Laboratory
Columbus, GA 31904-6878

Phone

(706) 596-4100

NPI assigned

Feb 24, 2006

Last updated

Nov 14, 2007By 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

David E. Martin, M.D.NPI 1932175452

Title

President

Phone

(706) 596-4100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

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.

• David E. Martin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brunswick, GA
  • NPI 1932175452
  Medicare reassignment NPD Authorized official
• Clinton Edgar McElroy, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbus, GA
  • NPI 1750574455
  Medicare reassignment NPD
• Meenakshi Vij, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lagrange, GA
  • NPI 1154397313
  Medicare reassignment NPD
• William Frank Willett III, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbus, GA
  • NPI 1841266863
  Medicare reassignment NPD

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1609842111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODCHASE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302409734",
            "telephone_number": "706-845-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPY",
            "address_2": "ST. FRANCIS HOSPITAL LABORATORY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046878",
            "telephone_number": "706-596-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-596-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI9362",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.