PRESBYTERIAN PATHOLOGY GROUP PLLC
NPI 1265493233
Pathology - Anatomic Pathology & Clinical Pathology in Charlotte, NC

Active since March 30, 2006CLIA 34D1098924 · Accreditation
200 HAWTHORNE LANE, CHARLOTTE, NC 28204(704) 384-4814(419) 866-5453 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Presbyterian Pathology Group Pllc NPPES

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

PRESBYTERIAN PATHOLOGY GROUP PLLC (NPI 1265493233) is a healthcare organization registered as an anatomic pathology & clinical pathology in Charlotte, North Carolina and active in the NPI registry since March 2006. The organization holds an CLIA Accreditation certificate valid through October 30, 2027 and lists Patrick A Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1265493233
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NamePRESBYTERIAN PATHOLOGY GROUP PLLC
Location Address200 HAWTHORNE LANECharlotte, NC 28204
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Fax(419) 866-5453
Organization SubpartNo
Authorized OfficialPatrick A WilsonPresident · (800) 288-8325
Enumeration DateMarch 30, 2006
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1265493233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedPathology · HematologyTaxonomy 207ZH0000X
200 HAWTHORNE LANE, Charlotte, NC 28204

Other Identifiers 2

Medicaid8902208NC
Other02208NC · Bcbs

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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)

Presbyterian Pathology Group Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Presbyterian Pathology Group PLLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 24
Pathology
NPI 1700900107
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1710398227
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1649317959
200 HAWTHORNE LN
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1013913128
200 HAWTHORNE LN PRESBYTERIAN HOSPITAL DEPARTMENT OF PATHOLOGY
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1427017482
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1407815657
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1669435012
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1467414292
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1518920966
200 HAWTHORNE LANE
Charlotte, NC 28204
(704) 384-4814
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1215904248
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-3734
✔ PECOS✔ Accepts Medicare67 mi
Pathology
NPI 1730477373
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5856
✔ PECOS✔ Accepts Medicare67 mi
Pathology
NPI 1750670279
3333 SILAS CREEK PKWY FL 1
Winston Salem, NC 27103
(336) 718-5856
✔ PECOS✔ Accepts Medicare67 mi
Pathology
NPI 1306812797
3333 SILAS CREEK PKWY
Winston-salem, NC 27103
(336) 718-5856
✔ PECOS✔ Accepts Medicare67 mi
Pathology
NPI 1871897553
3333 SILAS CREEK PKWY
Winston Salem, NC 27103
(336) 718-5856
✔ PECOS✔ Accepts Medicare67 mi
Pathology
NPI 1346482858
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-4311
✔ PECOS✔ Accepts Medicare68 mi
Pathology
NPI 1982865598
MEDICAL CENTER BLVD
Winston Salem, NC 27157
(336) 716-2255
✔ PECOS✔ Accepts Medicare68 mi
Pathology
NPI 1154902468
WAKE FOREST SCHOOL OF MEDICINE MEDICAL CENTER BOULEVARD
Winston Salem, NC 27157
(336) 716-4311
✔ PECOS✔ Accepts Medicare71 mi
Pathology
NPI 1114543279
30 PAGE ST
Pinehurst, NC 28374
(910) 687-4188
✔ PECOS✔ Accepts Medicare77 mi
Pathology
NPI 1992369672
2301 ERWIN RD
Durham, NC 27705
(919) 684-8111
✔ PECOS✔ Accepts Medicare120 mi
Pathology
NPI 1922399054
600 MOYE BLVD ECU PHYSICIANS PATHOLOGY
Greenville, NC 27834
(252) 744-2803
✔ PECOS✔ Accepts Medicare195 mi
See all 24 clinicians

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 34D1098924

Presbyterian Pathology Group (ppg) · Charlotte, NC
Active · expires Oct 30, 2027
CLIA Number34D1098924
Laboratory TypeOther
Certificate Effective DateOctober 31, 2025
Certificate Expiration DateOctober 30, 2027
Laboratory DirectorDr. Ricky A. Thompson
Laboratory Phone(704) 384-3761
Laboratory LocationPresbyterian Pathology Group (ppg)200 Hawthorne Lane, Charlotte, NC 28204
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Presbyterian Pathology Group PLLC's NPI number?

The NPI number for Presbyterian Pathology Group PLLC is 1265493233. It was assigned to this organization in the NPPES registry on March 30, 2006.

Where is Presbyterian Pathology Group PLLC located?

Presbyterian Pathology Group PLLC is located at 200 Hawthorne Lane, Charlotte, NC 28204. The listed phone number is (704) 384-4814.

What is Presbyterian Pathology Group PLLC's specialty?

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

Is Presbyterian Pathology Group PLLC enrolled in Medicare?

Yes. Presbyterian Pathology Group PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Presbyterian Pathology Group PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians, all in Pathology, reassign their Medicare billing to Presbyterian Pathology Group PLLC. 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, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Presbyterian Pathology Group PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D1098924) is associated with this NPI, valid through October 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Presbyterian Pathology Group PLLC was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.