Mary D Kinsella (NPI# 1205010790, PAC ID# 0840456802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1205010790 |
| PAC ID by PECOS | 0840456802 |
| Professional Enrollment ID | I20120720000025 |
| Full Name | Mary D Kinsella |
| Organization Legal Name | SOUTH SUBURBAN PATHOLOGISTS PC |
| Address |
1412 Milstead Ave Ne Conyers GA 30012-3877 |
| Phone Number | 7709183000 |
| Gender | M |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0547254872 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110161 | NORTHSIDE HOSPITAL |
| 110091 | PIEDMONT ROCKDALE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 4048515000 | PATHOLOGY AND LABORATORY MEDICINE, PC |
| 1412 Milstead Ave Ne, Conyers, GA 30012-3877 | 7709183000 | SOUTH SUBURBAN PATHOLOGISTS PC |
| 5126 Hospital Dr Ne, Covington, GA 30014-2566 | 7707867053 | SOUTH SUBURBAN PATHOLOGISTS PC |
| 2151 W Spring St, Monroe, GA 30655-3202 | 7702678461 | SOUTH SUBURBAN PATHOLOGISTS PC |
| 11 Upper Riverdale Swrd, Riverdale, GA 30274-2615 | 7709918615 | SOUTH SUBURBAN PATHOLOGISTS PC |
| Organization Legal Name | SOUTH SUBURBAN PATHOLOGISTS PC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil H Edgerton | Pathology | South Suburban Pathologists PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| David Aaron Cohen | Pathology | South Suburban Pathologists PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Aaron Leifer | Pathology | South Suburban Pathologists PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Gihun Lim | Pathology | South Suburban Pathologists PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Zoya K Arbiser | Pathology | South Suburban Pathologists PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Andrew Johnsen | Pathology | South Suburban Pathologists PC | 5126 Hospital Dr Ne, Covington, GA 30014-2566 |
| Street Address |
1412 MILSTEAD AVE NE |
| City | CONYERS |
| State | GA |
| Zip | 30012-3877 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robin Lowman White | Emergency Medicine | Walker Lake Emergency Group PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Babajide Falana | Hospitalist | Walker Lake Physician Services PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Cheryl H Mitcham | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| William Lievens | Neurology | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Ramona Davis | Physician Assistant | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Bobby A Smith | Cardiac Electrophysiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Harold D Carlson | Interventional Cardiology | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jesse Rizkalla | Internal Medicine | 24 On Physicians PC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Jimmie Dale Cannon Jr. | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Kenneth Lyda | Nurse Practitioner | Piedmont Cardiology of Atlanta, LLC | 1412 Milstead Ave Ne, Conyers, GA 30012-3877 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | PATHOLOGY |
| City + Specialty | CONYERS + PATHOLOGY |
Please comment or provide details below to improve the information on Mary D Kinsella.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.