ALTHEA HILL MCPHAIL MD
NPI 1508826215
Pathology - Anatomic Pathology in Lawrenceville, GA
About Althea Hill Mcphail Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTHEA HILL MCPHAIL MD (NPI 1508826215) is an individual anatomic pathology provider in Lawrenceville, Georgia, licensed in Georgia (037296) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Althea Hill Mcphail Md 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30046 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
LAWRENCEVILLE, GA 30046
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 Althea Mcphail's NPI number?
The NPI number for Althea Mcphail is 1508826215. It was assigned to this individual provider in the NPPES registry on March 25, 2006. The provider is also known as E Althea Hill.
Where is Althea Mcphail located?
Althea Mcphail practices at 1000 Medical Center Blvd Department Of Pathology, Lawrenceville, GA 30046. The listed phone number is (800) 346-1811.
What is Althea Mcphail's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.
Is Althea Mcphail enrolled in Medicare?
Yes. Althea Mcphail 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.
What insurance does Althea Mcphail accept?
Health plans from Oscar Insurance Company list Althea Mcphail 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.
Is Althea Mcphail affiliated with any hospitals?
According to CMS data, Althea Mcphail is affiliated with Northside Hospital Gwinnett.
When was this NPI record last updated?
The NPPES record for Althea Mcphail was last updated on August 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.
