GREENSBORO PATHOLOGY, LLC
NPI 1023084340
Specialist in Greensboro, NC
About Greensboro Pathology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENSBORO PATHOLOGY, LLC (NPI 1023084340) is a healthcare organization registered as a specialist in Greensboro, North Carolina and active in the NPI registry since February 2006. The organization holds an CLIA Accreditation certificate valid through September 13, 2028 and lists Michael C. Grattendick, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greensboro Pathology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Greensboro Pathology, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 27Greensboro, NC 27408
Greensboro, NC 27408
Greensboro, NC 27408
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 34D0996909
Greensboro Pathology LLC · Greensboro, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Greensboro Pathology, LLC's NPI number?
The NPI number for Greensboro Pathology, LLC is 1023084340. It was assigned to this organization in the NPPES registry on February 27, 2006.
Where is Greensboro Pathology, LLC located?
Greensboro Pathology, LLC is located at 706 Green Valley Rd Suite 104, Greensboro, NC 27408. The listed phone number is (336) 271-4930.
What is Greensboro Pathology, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Greensboro Pathology, LLC enrolled in Medicare?
Yes. Greensboro Pathology, LLC is registered in the Medicare PECOS enrollment system.
When is Greensboro Pathology, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Carolina, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Greensboro Pathology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians, all in Pathology, reassign their Medicare billing to Greensboro Pathology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 11 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Greensboro Pathology, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 34D0996909) is associated with this NPI, valid through September 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Greensboro Pathology, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and Ambetter of Tennessee list Greensboro Pathology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Greensboro Pathology, LLC was last updated on February 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Greensboro Pathology, Llc · NPI 1023084340
Specialist organization in Greensboro, North Carolina. Organization record, active in the CMS NPPES registry since February 27, 2006.
## Identity
- **NPI:** 1023084340 (Entity type: Organization)
- **Enumerated:** February 27, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Michael Grattendick, VICE PRESIDENT
## Practice location
- **Address:** 706 GREEN VALLEY RD, SUITE 104, Greensboro, NC 27408-7038
- **Phone:** (336) 271-4930 · **Fax:** (336) 271-8466
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 27 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 11 practice at this address and 13 within 10 miles; [full list](https://npiprofile.com/npi/1023084340/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2015
- **Other identifiers:** Medicare PIN 204231; Other CC3781
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1023084340) · Data from the CMS NPPES public registry.