Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1073595716
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
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Provider Addresses for Unknown Individual
Austell Road, Austell, Cobb, Georgia, 30106, United States
DEPARTMENT OF PATHOLOGY
AUSTELL, GA 301061121
Phone: (470) 732-3585
Fax: (470) 732-3565
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060809000062 | I | Pathology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 822 | 467 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 473 | 74 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 207 | 177 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 147 | 117 | $0 |
| 88112 | Cell examination of specimen, selective cellular enhancement technique | 129 | 106 | $0 |
Insurance plans in this area (ZIP 30106)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | GA | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 107 | 101 |
| PATHOLOGY | GA | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 176 | 146 |
| PATHOLOGY | GA | 88342 | Tissue or cell analysis by immunologic technique | 87 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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