GWINNETT PATHOLOGY ASSOC PC
NPI 1104887330
Pathology - Anatomic Pathology & Clinical Pathology in Lawrenceville, GA

Q: What is Gwinnett Pathology Assoc PC's NPI number?

The NPI number for Gwinnett Pathology Assoc PC is 1104887330. It was assigned to this organization in the NPPES registry on March 29, 2006.

Q: What is Gwinnett Pathology Assoc PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since March 29, 2006

1000 MEDICAL CENTER BLVD, PATHOLOGY DEPT, LAWRENCEVILLE, GA 30046(678) 312-4524(770) 682-2219 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gwinnett Pathology Assoc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWINNETT PATHOLOGY ASSOC PC (NPI 1104887330) is a healthcare organization registered as an anatomic pathology & clinical pathology in Lawrenceville, Georgia and active in the NPI registry since March 2006. The organization lists Ricardo J Delgado, President, as its authorized official.

NPPES Registry Identity

NPI1104887330

Entity TypeOrganization

Primary Taxonomy207ZP0102X

Legal Business NameGWINNETT PATHOLOGY ASSOC PC

Location Address1000 MEDICAL CENTER BLVD, PATHOLOGY DEPTLawrenceville, GA 30046-7694

Mailing AddressPo Box 1686Indianapolis, IN 46206-1686 · (706) 232-0156

Phone(678) 312-4524

Fax(770) 682-2219

Organization SubpartNo

Authorized OfficialRicardo J DelgadoPresident · (678) 312-4524

Enumeration DateMarch 29, 2006

Last NPPES UpdateJune 8, 2017

✔ NPI 1104887330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Definition

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.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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Other Identifiers 3

Medicaid300030501GA

Medicare PINGRP1831GA

Medicare PINC12883GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwinnett Pathology Assoc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 10 clinicians reassign Medicare billing to Gwinnett Pathology Assoc PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians, nearest first (10)

Kelly Adkins, M.D.

Pathology

NPI 1295919694

1000 MEDICAL CENTER BLVD DEPARTMENT OF PATHOLOGY
Lawrenceville, GA 30046

(678) 312-4526

✔ PECOS✔ Accepts MedicareSame address

Althea Mcphail, MD

Pathology

NPI 1508826215

1000 MEDICAL CENTER BLVD DEPARTMENT OF PATHOLOGY
Lawrenceville, GA 30046

(800) 346-1811

✔ PECOS✔ Accepts MedicareSame address

Alice Schultz, MD

Pathology

NPI 1558323550

1000 MEDICAL CENTER BLVD DEPARTMENT OF PATHOLOGY
Lawrenceville, GA 30046

(678) 442-4321

✔ PECOS✔ Accepts MedicareSame address

Robert Siegel, MD

Pathology

NPI 1194780478

1000 MEDICAL CENTER BLVD DEPARTMENT OF PATHOLOGY
Lawrenceville, GA 30046

(678) 442-4321

✔ PECOSSame address

Yekaterina Eichel, M.D.

Pathology

NPI 1720425747

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

(678) 312-4790

✔ PECOS✔ Accepts MedicareSame address

Kalli Faulkner, D.O.

Pathology

NPI 1972732162

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

(678) 312-4526

✔ PECOS✔ Accepts MedicareSame address

Amy Starr, D.O.

Pathology

NPI 1639517055

1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046

(678) 312-4526

✔ PECOS✔ Accepts MedicareSame address

Ricardo Delgado, MD

Pathology

NPI 1467414466

1000 MEDICAL CENTER BLVD DEPARTMENT OF PATHOLOGY
Lawrenceville, GA 30046

(678) 442-4321

✔ PECOS0.1 mi

Shu Kwun Lui, M.D.

Pathology

NPI 1891216636

311 WEST 8TH STREET, NE
Rome, GA 30165

(706) 291-8702

✔ PECOS✔ Accepts Medicare70 mi

Minqian Shen

Pathology

NPI 1073048872

1701 S CREASY LN
Lafayette, IN 47905

(800) 654-7410

✔ PECOS✔ Accepts Medicare472 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Gwinnett Pathology Assoc PC's NPI number?

The NPI number for Gwinnett Pathology Assoc PC is 1104887330. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Gwinnett Pathology Assoc PC located?

Gwinnett Pathology Assoc PC is located at 1000 Medical Center Blvd Pathology Dept, Lawrenceville, GA 30046. The listed phone number is (678) 312-4524.

What is Gwinnett Pathology Assoc PC's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Gwinnett Pathology Assoc PC enrolled in Medicare?

Yes. Gwinnett Pathology Assoc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gwinnett Pathology Assoc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians, all in Pathology, reassign their Medicare billing to Gwinnett Pathology Assoc PC. 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, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gwinnett Pathology Assoc PC was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.