Greenville Pathology, PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

34D0872845 Issued in NC

Legal business name

GREENVILLE PATHOLOGY, PA

Practice address

2515 Bowman Gray Dr
Greenville, NC 27834-7215

Phone

(252) 561-7992

Fax

(252) 752-2016

NPI assigned

May 18, 2006

Last updated

Oct 11, 2017By 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

Mrs. Emily Ainsley

Title

Practice Administrator

Phone

(252) 561-7992

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Greenville Pathology PA2 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.

• Greenville Pathology, PA

  • Clinical Medical Laboratory
  • Greenville, NC
  • NPI 1295216711
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Greenville Pathology, PA

  • Clinical Medical Laboratory
  • Greenville, NC
  • NPI 1295216711
  NPPES parent name

Practitioners 3

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.

• William A Ballance Jr., M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, NC
  • NPI 1700883212
  Medicare reassignment Care Compare group NPD
• Nancy L Smith, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Greenville, NC
  • NPI 1326020793
  Medicare reassignment Care Compare group NPD
• Elena McNeill, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, NC
  • NPI 1538317227
  Medicare reassignment NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1851344436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347215",
            "telephone_number": "252-561-7992",
            "fax_number": "252-752-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 BOWMAN GRAY DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347215",
            "telephone_number": "252-561-7992",
            "fax_number": "252-752-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "AINSLEY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-561-7992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NC",
            "license": "34D0872845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VOCATIONAL REHAB",
            "identifier": "10301964",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "34D0872845",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0255U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790255U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CH2834",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Medical Care PA
• Greenville Operating Company LLC (MacGregor Downs Health and Rehabiiltation Center)
• Greenville Operator LLC (Greenville Health and Rehabilitation Center)
• Greenville Opticians Inc
• Greenville Pathology, PA
• Greenville Pediatric Services, Inc
• Greenville Physical Therapy and Associates, Inc
• Greenville Plastic Surgery, PA
• Greenville Primary Care
• Greenville Psychiatric Associates, PA

• Clinical Medical Laboratory in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Medical Laboratory in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.