Pathlink of Georgia LLC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATHLINK OF GEORGIA LLC

Practice address

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Phone

(770) 991-8000

NPI assigned

Mar 14, 2023

Last updated

Mar 14, 2023By 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

Mario Gonzalez, MD

Title

President

Phone

(770) 991-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 10

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.

• Laleh Ehsani, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Riverdale, GA
  • NPI 1811286446
  Medicare reassignment Care Compare group NPD
• Diana Rodgers-Soriano, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Griffin, GA
  • NPI 1780647412
  Medicare reassignment Care Compare group NPD
• Chituru Adele, MD

  • Interventional Cardiology Physician
  • Riverdale, GA
  • NPI 1477500734
  NPD
• Devendra R Koganti, MD

  • Interventional Cardiology Physician
  • Riverdale, GA
  • NPI 1659334829
  NPD
• Mark Alan Kozinn, M.D.

  • Neurology Physician
  • Stockbridge, GA
  • NPI 1184696973
  NPD
• Kenneth J Lazarus, MD,PHD

  • Neurology Physician
  • Fayetteville, GA
  • NPI 1689602385
  NPD
• William Lynds, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Riverdale, GA
  • NPI 1740388172
  NPD
• Bhat Krishna Mohan, MD

  • Cardiovascular Disease Physician
  • Riverdale, GA
  • NPI 1043219256
  NPD
• Abiodun G Olatidoye, M.D.

  • Cardiovascular Disease Physician
  • Riverdale, GA
  • NPI 1659334209
  NPD
• John Darrell Smith, MD

  • Cardiovascular Disease Physician
  • McDonough, GA
  • NPI 1023054806
  NPD

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1831890169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328144333",
            "telephone_number": "407-422-9831",
            "fax_number": "407-648-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHLINK OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-991-8000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpesh Bhagubhai Patel, MD
• Biranj Patel, D.C.
• Jay Dipak Patel, DO
• Nimish Patel
• Prachi Sanjaykumar Patel, MD
• Pathologists at Riverdale PC
• Pathways to Recovery Associates Inc.
• Shontiaya S. Patterson, FNP
• Paul H Liebman MD PC
• Dawn A. Paul, FNP-C

• Anatomic Pathology & Clinical Pathology Physician in Riverdale, GA
• Providers in Riverdale, 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 Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.