PRIMEPATH, P.C. (NPI# 1962594986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962594986 |
| Entity Type | Organization |
| Organization Name | PRIMEPATH, P.C. |
| Practice Address |
1874 Beltline Rd Sw Decatur AL 35601-5514 |
| Mailing Address |
Po Box 5565 Decatur AL 35601-0565 |
| Practice Telephone | 2563013282 |
| Practice Fax Number | 2563013278 |
| Mailing Telephone | 2563504855 |
| Mailing Fax Number | 2563504866 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | MONITA SONI (PRESIDENT) |
| Authorized Official Telephone | 2563013282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51522999 | 01 |
| Street Address |
1874 BELTLINE RD SW |
| City | DECATUR |
| State | AL |
| Zip Code | 35601-5514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900166 | Davila Pediatrics P.C. | Pediatrics | 1874 Beltline Rd Sw, Suite 110, Decatur, AL 35601-5514 | 2005-08-24 |
| 1144703430 | Malea Robinson | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2018-09-12 |
| 1336639491 | Harvey Andrew Pleasanton Jr. | Registered Nurse | 1874 Beltline Rd Sw, Decatur, AL 35601 | 2018-05-15 |
| 1568840684 | Physynergy, LLC | Anesthesiology | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2015-05-08 |
| 1376883934 | Sherri A Pester | Dietitian, Registered | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2013-02-19 |
| 1740554054 | Hh Health System-morgan Inc. | Internal Medicine | 1874 Beltline Rd Sw, Suite 107, Decatur, AL 35601-5514 | 2012-03-05 |
| 1700150026 | Hh Health System-morgan Inc. | Pediatrics | 1874 Beltline Rd Sw, Suite 110, Decatur, AL 35601-5514 | 2012-03-05 |
| 1285904276 | Hh Health System - Morgan, Inc. | General Acute Care Hospital | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2012-01-06 |
| 1760770770 | Kelly Young | Clinic/Center | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-07-12 |
| 1205122249 | Jacqueline Kay Rutherford | Nurse Practitioner | 1874 Beltline Rd Sw, Decatur, AL 35601-5514 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical 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. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. 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 |
|---|---|---|---|---|
| 1679891311 | Cindy Mei Chy Hsieh | Pathology | 1800 E. Lake Shore Drive, Decatur, IL 62521-4839 | 2010-05-05 |
| 1952314627 | Elizabeth W Jones | Pathology | 2300 N Edward Street, Decatur, IL 62526 | 2006-08-14 |
| 1922014455 | David Martin Johnson | Pathology | 2300 N Edward Str, Decatur, IL 62526 | 2006-08-01 |
| 1063426526 | Robert Kevin Harrell | Pathology | 428 Winn Ct, Decatur, GA 30030-1726 | 2006-07-28 |
| 1417907890 | Vijay Alluri Varma | Pathology | Va Medical Center Lab Services, 1670 Clairmont Rd., Decatur, GA 30033 | 2006-05-10 |
| 1376504365 | Sue A Strayer | Pathology | 1800 E Lake Shore Drive, St Marys-decatur, Decatur, IL 62521-3883 | 2006-03-29 |
| 1013335074 | Shannon Marie O'brien | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2014-04-06 |
| 1356607998 | Tesha Ann Guillory | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2012-04-09 |
| 1386930832 | Lora Darrisaw | Pathology | 3121 Panthersville Rd, Decatur, GA 30034-3830 | 2011-06-23 |
| 1861678468 | Jigna C Jani | Pathology | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2008-01-14 |
| Find all providers in DECATUR | ||||
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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.