Organization Active NPI

Ocmulgee Medical Pathology Association Inc

  • Clinical Medical Laboratory
  • Marietta, GA
National Provider Identifier
1760428247
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
11D1004139 Issued in GA
Legal business name
OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC
Practice address
2275 Northwest Pkwy SE
Suite 140
Marietta, GA 30067-9321
Phone
(770) 951-1793
Fax
(770) 613-3380
NPI assigned
Jun 21, 2006
Organization subpart
Yes
Parent organization
AMERIPATH INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Darren Thomas Wheeler, MD
Title
Vice President
Phone
(973) 520-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 11D1004139 GA Primary

Addresses

Primary practice location

2275 Northwest Pkwy SE
Suite 140
Marietta, GA 30067-9321

Mailing address

500 Plaza Dr
Secaucus, NJ 07094-3619
Phone (866) 697-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000673 GA Part B Supplier - Independent Clinical Laboratory 3476466905 3 other NPIs on this enrollment
Practice locations: Marietta, GA; Tucker, GA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1066992Ocmulgee Medical Pathology Associates2275 Northwest Parkway S E Suite 140, Marietta, GA 30067AccreditationMar 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Gi2 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

500 Plaza Dr
Secaucus, NJ 07094

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1760428247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PLAZA DR",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943619",
            "telephone_number": "866-697-8378",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NORTHWEST PKWY SE",
            "address_2": "SUITE 140",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679321",
            "telephone_number": "770-951-1793",
            "fax_number": "770-613-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCMULGEE MEDICAL PATHOLOGY ASSOCIATION INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERIPATH INC.",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-520-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "11D1004139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.