CAROLYN KINZER-BEZANSON WALL M.D.
NPI 1124002712
Pathology - Anatomic Pathology & Clinical Pathology in Brunswick, GA

Q: What is Carolyn Wall's NPI number?

The NPI number for Carolyn Wall is 1124002712. It was assigned to this individual provider in the NPPES registry on December 6, 2005. The provider is also known as Carolyn A Kinzer-Bezanson M.D..

Q: What is Carolyn Wall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Wall was last updated on December 5, 2014. 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.

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment

203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, PC, BRUNSWICK, GA 31525(912) 279-1900(912) 261-0753 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Carolyn Kinzer-bezanson Wall M.d. NPPES

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

CAROLYN KINZER-BEZANSON WALL M.D. (NPI 1124002712) is an individual anatomic pathology & clinical pathology provider in Brunswick, Georgia, licensed in Georgia (038275) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and is a graduate of Medical College Of Georgia School Of Medicine (1992).

NPPES Registry Identity

NPI1124002712

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameCAROLYN KINZER-BEZANSON WALLCredential: M.D.

Location Address203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, PCBrunswick, GA 31525

Mailing AddressPo Box 30309Charleston, SC 29417 · (843) 554-9300 · Fax (843) 566-8780

Phone(912) 279-1900

Fax(912) 261-0753

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1992

Enumeration DateDecember 6, 2005

Last NPPES UpdateDecember 5, 2014

✔ NPI 1124002712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code207ZP0102X

Licenses✔ Licensed in GA · 038275✔ Licensed in FL · ME85489✔ Licensed in SC · MD29387✔ Licensed in AL · MD317652✔ Licensed in LA · MD.12093R/INACTIVE

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.

203 INDIGO DRIVE, Brunswick, GA 31525

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Other Names 1

Other Name (5)Carolyn A Kinzer-bezanson M.d.

Other Identifiers 11

Medicaid000931356CGA

Medicaid000931356GA

Medicare PIN22BDDGKGA

Medicaid000931356AGA

Medicaid000931356BGA

Medicaid000931356DGA

Medicaid000931356IGA

Medicare UPING91483GA

Medicaid000931356FGA

Medicaid000931356EGA

Medicare PIN220032605GA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Kinzer-bezanson Wall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698804169

PECOS Enrollment IDI20100520000777, I20130606000515

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carolyn Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Pathology Associates PC

0.1 mi

Anatomic Pathology & Clinical Pathology

203 INDIGO DR
Brunswick, GA 31525

Reassigned Medicare billing, Georgia and Florida enrollments
Also billed through NPI 1992963268 (Florida)
40 clinicians in this Medicare group

NPI 1821104704 (912) 261-2669

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

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

451 services273 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

324 services290 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

163 services113 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

76 services34 patients

Cell examination of specimen, selective cellular enhancement technique 88112

65 services56 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

44 services32 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

41 services37 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

40 services30 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

37 services25 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

33 services12 patients

Cell examination of urine, computer-assisted 88121

A cell examination of urine, computer-assisted, is a lab test where a computer helps analyze your urine sample. It aids in identifying any abnormal cells or substances that may indicate health issues. The process is painless and involves collecting a urine sample.

28 services26 patients

Special stained specimen slides to examine tissue, initial procedure 88342

22 services18 patients

Evaluation of fine needle aspirate with interpretation and report 88173

20 services19 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

13 services13 patients

Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374

This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southeast Georgia Health System- Brunswick Campus

Acute Care Hospitals · Brunswick, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110025

Location2415 Parkwood DriveBrunswick, GA 31520 · Glynn County

Emergency services

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number110064

Location710 Center StreetColumbus, GA 31901 · Muscogee County

Emergency services Birthing friendly

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110075

Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County

Emergency services

Effingham Health System

Critical Access Hospitals · Springfield, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111306

Location459 Ga Highway 119 SouthSpringfield, GA 31329 · Effingham County

Emergency services

Jeff Davis Hospital

Critical Access Hospitals · Hazlehurst, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111333

Location163 South Tallahassee StreetHazlehurst, GA 31539 · Jeff Davis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK E GODBEY M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, INC.
BRUNSWICK, GA 31525

Glynn County (912) 279-1900

LI MA M.D.

Pathology (Clinical Pathology)

203 INDIGO DRIVE, SOUTHEASTERN PATHOLOGY ASSOCIATES, INC.
BRUNSWICK, GA 31525

Glynn County (912) 279-1900

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 Carolyn Wall's NPI number?

The NPI number for Carolyn Wall is 1124002712. It was assigned to this individual provider in the NPPES registry on December 6, 2005. The provider is also known as Carolyn A Kinzer-Bezanson M.D..

Where is Carolyn Wall located?

Carolyn Wall practices at 203 Indigo Drive Southeastern Pathology Associates, PC, Brunswick, GA 31525. The listed phone number is (912) 279-1900.

What is Carolyn Wall's specialty?

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

Is Carolyn Wall enrolled in Medicare?

Yes. Carolyn Wall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carolyn Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Wall reassigns Medicare benefits to Southeastern Pathology Associates PC (Brunswick, GA). The 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 Carolyn Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carolyn Wall affiliated with any hospitals?

According to CMS data, Carolyn Wall is affiliated with Southeast Georgia Health System- Brunswick Campus, Piedmont Columbus Regional Midtown, East Georgia Regional Medical Center, Effingham Health System and Jeff Davis Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Wall was last updated on December 5, 2014. 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.