NPIMap

Organization Active NPI

Carolinas Pathology Group, PA

Doing business as Carolinas Pathology Group

  • Specialist
  • Charlotte, NC
National Provider Identifier
1689628158
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CAROLINAS PATHOLOGY GROUP, PA
Doing business as
Carolinas Pathology Group
Practice address
1000 Blythe Blvd
4TH Floor
Charlotte, NC 28203-5812
Phone
(704) 973-5500
Fax
(704) 973-5518
NPI assigned
May 20, 2006
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Chad A. Livasy, MDNPI 1669569448
Title
President
Phone
(704) 973-5500

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1000 Blythe Blvd
4TH Floor
Charlotte, NC 28203-5812

Mailing address

PO Box 96782
Charlotte, NC 28296-6782
Phone (704) 973-5500

Other names 1

  • Carolinas Pathology Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040625000060 NC Part B Supplier - Clinic/Group Practice 3375529985 Receives reassigned benefits from 49 practitioners
Practice locations: Waxhaw, NC; Wadesboro, NC; Shelby, NC; Monroe, NC; Matthews, NC; Lincolnton, NC; Laurinburg, NC; Kings Mountain, NC…
O20081126000488 SC Part B Supplier - Clinic/Group Practice 3375529985 Receives reassigned benefits from 48 practitioners
Practice locations: Gaffney, SC; Greenville, SC; Greer, SC; Spartanburg, SC; Union, SC

National Provider Directory

National Provider Directory
Tax ID family
Carolinas Pathology Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000

Practitioners & affiliated clinicians

Practitioners 625

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.

View all 625

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1689628158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96782",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282966782",
            "telephone_number": "704-973-5500",
            "fax_number": "704-973-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "4TH FLOOR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-973-5500",
            "fax_number": "704-973-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS PATHOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LIVASY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-973-5500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Pathology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.