Organization Active NPI

North Georgia Pathology

  • Clinical Pathology/Laboratory Medicine Physician
  • Cumming, GA
National Provider Identifier
1851958334
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
NORTH GEORGIA PATHOLOGY
Practice address
4150 Deputy Bill Cantrell Memorial Rd Suite 200
Cumming, GA 30040
Phone
(404) 446-0600
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Authorized official

Name
Simon Cofrancesco, DO
Title
Presdent
Phone
(404) 446-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0105X Primary

Addresses

Primary practice location

4150 Deputy Bill Cantrell Memorial Rd Suite 200
Cumming, GA 30040

Mailing address

4150 Deputy Bill Cantrell Memorial Rd Suite 200
Cumming, GA 30040

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558396800000",
    "number": "1851958334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 DEPUTY BILL CANTRELL MEMORIAL RD SUITE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "404-446-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A",
        "authorized_official_last_name": "COFRANCESCO",
        "authorized_official_first_name": "SIMON",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "404-446-0600",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.