NPIMap

Organization Active NPI

Oconee Pathology Associates, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Milledgeville, GA
National Provider Identifier
1881899458
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
030927 Issued in GA
Legal business name
OCONEE PATHOLOGY ASSOCIATES, P.C.
Practice address
821 N Cobb St
Pathology Department
Milledgeville, GA 31061-2343
Phone
(478) 454-3688
Fax
(478) 454-3694
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Dr. Reginald Wendall Wilson, M.D.NPI 1477517563
Title
President
Phone
(478) 454-3688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X 030927 GA Primary

Addresses

Primary practice location

821 N Cobb St
Pathology Department
Milledgeville, GA 31061-2343

Mailing address

PO Box 1705
Milledgeville, GA 31059-1705
Phone (478) 454-3688

Other identifiers 5

IdentifierTypeStateIssuer
297058OtherGAWELLCARE
DD8654OtherGARAILROAD MEDICARE
118365OtherGAPEACH STATE HLT PLANS
727301OtherGABCBSGA PROVIDER #
10049818OtherGAAMERIGROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1881899458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310591705",
            "telephone_number": "478-454-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N COBB ST",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310612343",
            "telephone_number": "478-454-3688",
            "fax_number": "478-454-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE PATHOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "WENDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-454-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "030927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "297058",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD8654",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE HLT PLANS",
            "identifier": "118365",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA PROVIDER #",
            "identifier": "727301",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10049818",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.