Individual provider Active NPI

Lynda Gentchev, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hattiesburg, MS
National Provider Identifier
1689993644
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
24132 Issued in MS
Practice address
5052 W 4TH St
Hattiesburg, MS 39402-1069
Phone
(601) 261-2587
NPI assigned
May 28, 2010
Last updated
May 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 24132 MS Primary

Addresses

Primary practice location

5052 W 4TH St
Hattiesburg, MS 39402-1069

Mailing address

5052 W 4TH St
Hattiesburg, MS 39402-1069
Phone (601) 261-2587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160615000242 MS Practitioner - Pathology 4385935774 Reassigns benefits to 1 organization
I20211122001306 FL Practitioner - Pathology 4385935774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Regional Laboratories Pathology Services, LLCGroup PAC ID 9133244346, 132 clinicians

Practice addresses (Care Compare)

449 W 23Rd St
Panama City, FL 32405-4507
Phone (850) 325-5888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hub Care Pathology, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jun 15, 2016 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Nov 22, 2021 Accepting new patients

Locations

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

5052 W 4th St
Hattiesburg, MS 39402
Phone (601) 261-2587

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1689993644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021069",
            "telephone_number": "601-261-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021069",
            "telephone_number": "601-261-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTCHEV",
        "first_name": "LYNDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "24132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.