Pathology Consultants of Georgia

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

053337 Issued in GA

Legal business name

PATHOLOGY CONSULTANTS OF GEORGIA

Doing business as

PCG Molecular

Practice address

134 Ansley Drive
Suite 500
Dahlonega, GA 30533-1614

Phone

(678) 601-6030

Fax

(678) 928-9760

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Armando Moncada, M.D.NPI 1639246366

Title

Ceo/Owner

Phone

(678) 601-6030

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PCG Molecular Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Armando J Moncada Jr., M.D.

  • Anatomic Pathology Physician
  • Beverly, MA
  • NPI 1639246366

  Clinical Medical Laboratory

  NPD (past) Authorized official

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1730118498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DRIVE",
            "address_2": "SUITE 500",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331614",
            "telephone_number": "678-601-6030",
            "fax_number": "678-928-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DRIVE",
            "address_2": "SUITE 500",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331614",
            "telephone_number": "678-601-6030",
            "fax_number": "678-928-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY CONSULTANTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "MONCADA",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-601-6030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "053337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390808920A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "P00046967",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCG Molecular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy L Orr, PHARMD
• Stefanie Dean Dismer Palma, PT, DPT
• Phillip Burl Palmer, P.T.
• Micaela Pamplin, PHARMD
• Brian Andrew Parker, NP
• Patrick a Conarro MD (d.b.a. Summit Surgical ASC)
• Patrick a. Conarro, M.D. (Summit Surgical)
• Margaret Payne, RNCS, MN, PNP
• Teresa Anne Payne, FNP
• Katherine Ann Peake, RN

• Clinical Medical Laboratory in Dahlonega, GA
• Providers in Dahlonega, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.