Individual provider Active NPI

Jacob Collie, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dayton, OH
National Provider Identifier
1952716276
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
1412 Issued in NE
Practice address
4881 Sugar Maple Dr
Dayton, OH 45433-5529
Phone
(937) 257-2785
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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 1412 NE Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 5249 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0102207658 VA
General Practice Physician 208D00000X 1412 NE

Addresses

Primary practice location

4881 Sugar Maple Dr
Dayton, OH 45433-5529

Mailing address

5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4400

Other practice location 1

1840 Amherst St
Winchester, VA 22601-2808
Phone (615) 221-4400

Other practice location 2

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 221-4400

Other practice location 3

3551 Roger Brooke Dr (Brooke Army Medical Center)
JBSA Ft Sam Houston, TX 78234
Apo, AA 78234
Phone (210) 916-6807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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
I20240429001366 VA Practitioner - Pathology 5799192126 Reassigns benefits to 2 organizations
I20260102002188 TN Practitioner - Pathology 5799192126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
89.3
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5249TNMDProfessional Counselor
0202207658VAMDPharmacist
0102207658VAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Oct 18, 2025 Accepting new patients
Forward Pathology Solutions LLC Anatomic Pathology & Clinical Pathology CurrentSince Apr 29, 2024 Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

4600 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 498-4000

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1952716276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VIRGINIA WAY STE 300",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277542",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-2785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012808",
            "country_code": "US",
            "telephone_number": "615-221-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Patterson St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031538",
            "country_code": "US",
            "telephone_number": "615-221-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr (Brooke Army Medical Center)",
            "address_2": "JBSA Ft Sam Houston, TX 78234",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AA",
            "postal_code": "78234",
            "country_code": "US",
            "telephone_number": "210-916-6807",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "COLLIE",
        "first_name": "JACOB",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "1412",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "5249",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0102207658",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "1412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.