Individual provider Active NPI

George Robert Collins, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Alexandria, LA
National Provider Identifier
1871581728
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DO.000178 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-3219
NPI assigned
Oct 13, 2005
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DO.000178 LA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X L7338 TX

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

PO Box 3780
Tupelo, MS 38803-3780
Phone (318) 841-9526

Other practice location 1

1 Riverside Cir Ste 105
Roanoke, VA 24016-4961
Phone (540) 581-0150

Other identifiers 1

IdentifierTypeStateIssuer
2109766MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120628000177 LA Practitioner - Pathology 3476587551 Reassigns benefits to 1 organization
I20200722001203 TX Practitioner - Pathology 3476587551

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
West Virginia School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Delta Pathology Group LLCGroup PAC ID 4789639089, 28 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3808

2915 Missouri Ave
Shreveport, LA 71109-4327
Phone (318) 364-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Delta Pathology Group LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2012 Accepting new patients
The Delta Pathology Group LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 10, 2020 Accepting new patients
The Delta Pathology Group, L.L.C. Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

2915 Missouri Ave
Shreveport, LA 71109
Phone (318) 364-2000

3000 Knight St
Ste 220
Shreveport, LA 71105
Phone (318) 841-9526

3290 Knight St
Shreveport, LA 71105
Phone (318) 621-8820

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1871581728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3780",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388033780",
            "telephone_number": "318-841-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-3219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Riverside Cir Ste 105",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240164961",
            "country_code": "US",
            "telephone_number": "540-581-0150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "GEORGE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "DO.000178",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "L7338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109766",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.