PODPATH, INC (NPI# 1295386928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295386928 |
| Entity Type | Organization |
| Organization Name | PODPATH, INC |
| Other Organization Name | PODPATH SOLUTIONS, INC |
| Practice Address |
2000 Lake Park Dr Se Smyrna GA 30080-7611 |
| Mailing Address |
1125 Troupe St Augusta GA 30904-4480 |
| Practice Telephone | 6785569411 |
| Mailing Telephone | 7066677450 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | ROBERT WESLEY WETHERINGTON (OWNER) |
| Authorized Official Telephone | 7066677450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PodPath Solutions, Inc | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PODPATH, INC. | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 |
| Street Address |
2000 LAKE PARK DR SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-7611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285613307 | Robert W Wetherington | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2006-01-17 |
| 1558789594 | Emily Mae Erstine | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2014-04-05 |
| 1689019184 | Abha Soni | Dermatology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-09 |
| 1083059950 | Melissa Dillard | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-06 |
| 1497072920 | Skinpath Solutions Inc. | Clinical Medical Laboratory | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2010-04-23 |
| 1497089874 | Wael H Milyani | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080 | 2009-10-01 |
| 1811041049 | Dipti Anand | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558789594 | Emily Mae Erstine | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2014-04-05 |
| 1083059950 | Melissa Dillard | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2013-05-06 |
| 1497089874 | Wael H Milyani | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080 | 2009-10-01 |
| 1811041049 | Dipti Anand | Pathology | 2000 Lake Park Dr Se, Smyrna, GA 30080-7611 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871630350 | Seth Ian Rosenthal | Pathology | 1901 Phoenix Blvd Ste 210, Atlanta, GA 30349-5062 | 2007-01-31 |
| 1780623785 | Jessie Lee | Pathology | 175 White St Nw, Suite 370, Marietta, GA 30060-1053 | 2006-06-05 |
| 1295798320 | Wayne L Bakotic | Pathology | 114 Mimosa Dr, Suite C, Thomasville, GA 31792-6677 | 2006-04-10 |
| 1134193774 | Drazen M Jukic | Pathology | 5400 Sutlive St, Suite 3, Savannah, GA 31405-4721 | 2006-02-13 |
| 1639158389 | Scott M Acker | Pathology | 6240 Shiloh Rd Ste B, Alpharetta, GA 30005-8347 | 2006-01-11 |
| 1295710754 | Bradley W. Bakotic | Pathology | 2001 Westside Parkway, Suite 290, Alpharetta, GA 30004-8514 | 2005-12-07 |
| 1093797144 | Michael J Palko IIi | Pathology | 510 E Oglethorpe Hwy, Hinesville, GA 31313 | 2005-11-15 |
| 1053392191 | Ling Chen | Pathology | 1951 Clairmont Rd, Decatur, GA 30033-3415 | 2005-11-07 |
| 1649270885 | Jordan H. Berne | Pathology | 6095 Barfield Rd Ne, Suite 200, Atlanta, GA 30328-4408 | 2005-07-29 |
| 1588667380 | Christopher J Kligora | Pathology | 311 W 8th St Ne, Rome, GA 30165-2723 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
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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.