Active NPI
Jacob Collie, D.O.
- Anatomic Pathology & Clinical Pathology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 1412
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Winchester Medical Center
- Lewisgale Medical Center
- T J Samson Community Hospital
- Tristar Centennial Medical Center
- Warren Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5249 | TN | MD | Professional Counselor |
| 0202207658 | VA | MD | Pharmacist |
| 0102207658 | VA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pathologists, LLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Forward Pathology Solutions LLC | Anatomic Pathology & Clinical Pathology | Current | 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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Nashville, TN
- NPI 1003863580
VA
-
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, VA
- NPI 1982266391
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1023055126
-
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
- General Acute Care Hospital
- Glasgow, KY
- NPI 1770581894
-
- General Acute Care Hospital
- Front Royal, VA
- NPI 1427085232
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.