South Path, P.C.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

SOUTH PATH, P.C.

Practice address

1520 N Leg Rd
Augusta, GA 30909-4332

Phone

(706) 722-1846

Fax

(706) 722-3323

NPI assigned

Mar 27, 2007

Last updated

Jan 12, 2009By 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

Stephen C Mullins, M.D.

Title

President

Phone

(706) 434-4121

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Alvin B Bryan Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Augusta, GA
  • NPI 1417000100
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1699893412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094332",
            "telephone_number": "706-722-1846",
            "fax_number": "706-722-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094332",
            "telephone_number": "706-722-1846",
            "fax_number": "706-722-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PATH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-434-4121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686556795A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA941",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine C Soto, RN
• Jillian Marie Soto, MD
• Anas Souid, MD
• South Augusta Dialysis Clinic LLC
• South East Behavioral Community Services, Inc.
• Southeast Homecare & Respiratory Services
• Southeast Hospice, LLC, (Southeast Hospice)
• Southeast Retina Center PC
• Southeastern Behavioral Health Services
• Southeastern Medical Brokers, Inc. (Integrity Medical)

• Anatomic Pathology & Clinical Pathology Physician in Augusta, GA
• Providers in Augusta, 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 Jan 12, 2009; 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.