Greeneville Pathology Associates, P C

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD00004219 Issued in TN

Legal business name

GREENEVILLE PATHOLOGY ASSOCIATES, P C

Practice address

209 N College St
Greeneville, TN 37745-5092

Phone

(423) 639-5781

Fax

(423) 639-2218

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Carl Thacker, M DNPI 1639217516

Title

President

Phone

(423) 639-5781

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Carl Thacker, M D

  • Anatomic Pathology & Clinical Pathology Physician
  • Greeneville, TN
  • NPI 1639217516
  Authorized official Same address or phone

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912100918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N COLLEGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455092",
            "telephone_number": "423-639-5781",
            "fax_number": "423-639-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N COLLEGE ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455092",
            "telephone_number": "423-639-5781",
            "fax_number": "423-639-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVILLE PATHOLOGY ASSOCIATES, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-639-5781",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "MD00004219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greeneville Emergency Physicians Medical Group PC
• Greeneville Evaluation Service
• Greeneville Eye Clinic
• Greeneville Eye Clinic Optical Shop
• Greeneville Orthopaedic Clinic, P.C.
• Greeneville Physician Services, L.L.C. (Laughlin Medical Group, Primary care)
• Greeneville Radiology Imaging
• Greeneville Urgent Care Center Inc
• Greeneville Vision Center (Greeneville Eyecare Center)
• Greenville Dental Associates, PLLC

• Anatomic Pathology & Clinical Pathology Physician in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Anatomic Pathology & Clinical Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.