ATLANTA PATHOLOGY PA (NPI# 1104893353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104893353 |
| Entity Type | Organization |
| Organization Name | ATLANTA PATHOLOGY PA |
| Other Organization Name | ATLANTA PATHOLOGY HOSPITAL SERVICES |
| Practice Address |
315 Boulevard Ne Suite 240 Atlanta GA 30312-1200 |
| Mailing Address |
315 Boulevard St #240 Atlanta GA 30312 |
| Practice Telephone | 4045220414 |
| Practice Fax Number | 4045219254 |
| Mailing Telephone | 4045220414 |
| Mailing Fax Number | 4045219254 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | STEVEN P BONDELL (DIRECTOR OF THE LAB) |
| Authorized Official Telephone | 4045220414 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 300019824C | 05 |
| Other Name | Type Code |
|---|---|
| Atlanta Pathology Hospital Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538311907 | Atlanta Pathology Pa | Clinical Medical Laboratory | 315 Boulevard Street, 240, Atlanta, GA 30312 | 2008-10-16 |
| Street Address |
315 BOULEVARD NE SUITE 240 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609874023 | Courtney D Shelton | Family Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1200 | 2005-07-10 |
| 1205316395 | Yolette Lafontant | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-08-17 |
| 1659871994 | Traci Ann Robinson | Nurse Practitioner | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2018-02-13 |
| 1982155222 | Terescah Lemon | Counselor | 315 Boulevard Ne, Atlanta, GA 30312-1200 | 2016-10-21 |
| 1154785624 | Shelton Hospitalists Group, LLC | Internal Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1264 | 2016-04-11 |
| 1720471261 | Pacific Coast Medical Group Company | Preventive Medicine | 315 Boulevard Ne, Suite 555, Atlanta, GA 30312-1200 | 2015-03-09 |
| 1447690581 | Lynn Lipa | Registered Nurse | 315 Boulevard Ne, Suite 332, Atlanta, GA 30312-1200 | 2013-07-03 |
| 1558637512 | Althea L. Turk,m.d.,p.c. | Ophthalmology | 315 Boulevard Ne, Suite 242, Atlanta, GA 30312-1200 | 2012-03-23 |
| 1144518291 | Veena Malepati | Internal Medicine | 315 Boulevard Ne, Atlanta Medical Center, Atlanta, GA 30312-1200 | 2011-07-11 |
| 1306131396 | Lonnie C. Jenkins Md PC | Internal Medicine | 315 Boulevard Ne, Suite 516, Atlanta, GA 30312 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588031942 | Robert Barnet Shibuya | Pathology | 1772 Johnson Rd Ne, Atlanta, GA 30306-3147 | 2015-09-01 |
| 1821180811 | Michelle D. Reid | Pathology | 550 Peachtree Street, Emory University Hospital Midtown, Department of Pathology, Davis Fischer Bldg, Room 1325, Atlanta, GA 30308-0004 | 2006-09-28 |
| 1548218605 | Bruce H. Wainer | Pathology | 1841 Clifton Rd Ne, Room 208, Atlanta, GA 30329-4021 | 2006-05-04 |
| 1356399521 | Kenneth E. Bernstein | Pathology | Woodruff Memorial Building, 101 Woodruff Circle, Ste. 7107a, Atlanta, GA 30322-0001 | 2006-05-04 |
| 1790282713 | Oluwaseun Basit Ogunbona | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2018-04-06 |
| 1235518382 | Toni Peters | Pathology | 1000 Johnson Ferry Rd, Dept of Pathology, Atlanta, GA 30342-1606 | 2015-05-21 |
| 1023436482 | Abigail Goodman | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2014-04-02 |
| 1760825491 | Zachary Chinn | Pathology | 1364 Clifton Rd Ne, Atlanta, GA 30322 | 2013-04-11 |
| 1679877278 | Christopher Griffith | Pathology | 550 Peachtree St Ne, Department of Pathology, Atlanta, GA 30308 | 2010-12-23 |
| 1013228238 | Sarah Ashley Brooks | Pathology | 3300 Buckeye Rd, Suite 178, Atlanta, GA 30341-4229 | 2010-06-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.