GREENSBORO PATHOLOGY, LLC – Specialist, NPI 1023084340

GREENSBORO PATHOLOGY, LLC is a healthcare provider. based in Palm beach gardens, Florida. specializing in Specialist. The NPI Number for GREENSBORO PATHOLOGY, LLC is 1023084340

Main info

Organization
Name
GREENSBORO PATHOLOGY, LLC
NPI
1023084340
Phone
(561) 626-5512
Address
11025 RCA CENTER DRIVE
Authorized Official
MICHAEL C. GRATTENDICK VICE PRESIDENT
Enumeration Date
27 February 2006
Last Update Date
17 February 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for GREENSBORO PATHOLOGY, LLC

  • 11025, RCA Center Drive, Monet, Palm Beach Gardens, North Palm Beach, Palm Beach County, Florida, 33410, United States

    SUITE 300

    PALM BEACH GARDENS, FL 334104269

    Phone: (561) 626-5512

    Fax: (561) 626-4530

    Type: Mailing

  • 706, Green Valley Road, Greensboro, Guilford County, North Carolina, 27408, United States

    SUITE 104

    GREENSBORO, NC 274087038

    Phone: (336) 271-4930

    Fax: (336) 271-8466

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-07

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040707001432OClinic/Group PracticeNCTBD

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.

Verify on CMS Revalidation Lookup Tool

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33410)

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Reviews

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Frequently asked questions

Is GREENSBORO PATHOLOGY, LLC listed with a National Provider Identifier?
Yes — GREENSBORO PATHOLOGY, LLC has NPI 1023084340 on file in the registry.
Is GREENSBORO PATHOLOGY, LLC still an active registrant?
GREENSBORO PATHOLOGY, LLC carries an active NPI according to the public dataset.
How would a patient describe GREENSBORO PATHOLOGY, LLC's focus?
For GREENSBORO PATHOLOGY, LLC, the primary taxonomy reads as Other Service Providers. Clinical services aligned with this taxonomy classification.
What locale is associated with GREENSBORO PATHOLOGY, LLC?
Directory geography for GREENSBORO PATHOLOGY, LLC centers on Palm Beach Gardens, Florida.
When was this NPI issued?
Enumeration for GREENSBORO PATHOLOGY, LLC is noted as February 27, 2006 where the registry provides it.

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