Individual provider Active NPI

Martina Pejchal, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Florence, SC
National Provider Identifier
1902339898
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
93057 Issued in SC
Practice address
555 East Cheves St
Pathology Dept/Pee Dee Pathology
Florence, SC 29506
Phone
(724) 234-0596
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 93057 SC Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2020-02250 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD460243 PA
Cytopathology Physician 207ZC0500X 272542 MA

Addresses

Primary practice location

555 East Cheves St
Pathology Dept/Pee Dee Pathology
Florence, SC 29506

Mailing address

555 East Cheves St
Pathology Dept/Pee Dee Pathology
Florence, SC 29506
Phone (724) 234-0596

Other practice location 1

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-2803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200609000019 NC Practitioner - Pathology 3971860651 Reassigns benefits to 1 organization
I20220112002134 MI Practitioner - PathologyPractitioner - Other (Physician) 3971860651 Reassigns benefits to 1 organization
I20241028002094 SC Practitioner - Pathology 3971860651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-02250NCMDAnatomic Pathology & Clinical Pathology Physician
MD460243PAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2022 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Wilmington Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2023 Accepting new patients
Ecu Physicians Diagnostic Pathology Services Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2020 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 28, 2025 Accepting new patients
Dunes Pathology, LLC Anatomic Pathology & Clinical Pathology Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2022 Accepting new patients

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

8175 Reliable Pkwy
Chicago, IL 60686

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

1915 S 17th St
Ste 100
Wilmington, NC 28401
Phone (910) 202-2400

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1902339898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 EAST CHEVES ST",
            "address_2": "PATHOLOGY DEPT/PEE DEE PATHOLOGY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "724-234-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 EAST CHEVES ST",
            "address_2": "PATHOLOGY DEPT/PEE DEE PATHOLOGY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "29506",
            "telephone_number": "724-234-0596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Moye Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344300",
            "country_code": "US",
            "telephone_number": "252-744-2803",
            "fax_number": "252-744-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEJCHAL",
        "first_name": "MARTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "93057",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2020-02250",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD460243",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MA",
            "license": "272542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.