Active NPI
Vinita Mathur, MD
- Anatomic Pathology & Clinical Pathology Physician
- Macon, GA
National Provider Identifier
1730172305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD0000043396
- Practice address
- 350 Hospital Dr
Macon, GA 31217-3838 - Phone
- (787) 654-8724
- Fax
- (475) 751-0455
- NPI assigned
- Aug 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 200500221 | NC | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD0000043396 | TN | Primary |
Addresses
Primary practice location
350 Hospital Dr
Macon, GA 31217-3838
Mailing address
350 Hospital Dr
Macon, GA 31217-3838
Phone (787) 654-8724
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130I227776 | Other | TN | MEDICARE PTAN |
| E4403-26290 | Other | NC | MEDCOST |
| 5900266 | Medicaid | NC | |
| 3721566 | Other | TN | GROUP PTAN |
| 046JM | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500221 | NC | MD | Anatomic Pathology & Clinical Pathology Physician |
| MD0000043396 | TN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cytometry Specialists, Inc. | Current | Accepting new patients | |
| Southern Diagnostic Pathology PC | Current | Accepting new patients | |
| Cytometry Specialists, Inc. | Current | Accepting new patients | |
| Greenville Pathology, PA | Past | Accepting new patients |
Locations
2580 Westside Pkwy
Alpharetta, GA 30004
Phone (678) 205-1551
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Alpharetta, GA
- NPI 1679580286
-
- Clinical Medical Laboratory
- Macon, GA
- NPI 1992681126
-
- Clinical Pathology/Laboratory Medicine Physician
- El Monte, CA
- NPI 1528703048
-
- Clinical Medical Laboratory
- Greenville, NC
- NPI 1295216711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754956800000",
"number": "1730172305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "787-654-8724",
"fax_number": "475-751-0455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HOSPITAL DR",
"city": "MACON",
"state": "GA",
"postal_code": "312173838",
"telephone_number": "787-654-8724",
"fax_number": "475-751-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "VINITA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-29",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "200500221",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "MD0000043396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "130I227776",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "E4403-26290",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5900266",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "3721566",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "046JM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.