Active NPI
North Georgia Pathology
- Clinical Pathology/Laboratory Medicine Physician
- Cumming, GA
National Provider Identifier
1851958334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 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 DirectoryNPI 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
- North Georgia Diabetes and Endocrinology
- North Georgia Hand Therapy, LLC
- North Georgia Homecare Services, LLC
- North Georgia Medical Solutions Corp.
- North Georgia Orthopaedic Center
- North Georgia Physical Medicine
- North Georgia Psychiatric Wellness Center LLC
- North Georgia Pulmonary and Critical Care, LLC
- North Georgia Radiation
- North Georgia Senior Home Care LLC (Brightstar Care)
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.