NPIMap

Organization Active NPI

Rockdale Pathology, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Conyers, GA
National Provider Identifier
1659547388
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ROCKDALE PATHOLOGY, PC
Practice address
3248 Avalon Blvd
Conyers, GA 30013
Phone
(770) 922-9706
Fax
(770) 922-8792
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Aileen P Oneill, MDNPI 1306815030
Title
Ceo
Phone
(770) 922-9706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

3248 Avalon Blvd
Conyers, GA 30013

Mailing address

3248 Avalon Blvd
Conyers, GA 30013
Phone (770) 922-9706

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1659547388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 AVALON BLVD",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-922-9706",
            "fax_number": "770-922-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3248 AVALON BLVD",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-922-9706",
            "fax_number": "770-922-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE PATHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-922-9706",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.