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
Other Names 1
Other Identifiers 4
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Althea Mcphail reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30046
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Lawrenceville, GA 30045
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
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 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
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.
Which organizations bill Medicare for Althea Mcphail's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Althea Mcphail reassigns Medicare benefits to 2 organizations: Gwinnett Pathology Assoc PC (Lawrenceville, GA) and Southern Gastroenterology Associates, LLC (Lawrenceville, GA). Each 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 Althea Mcphail's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Althea Hill Mcphail, MD · NPI 1508826215
Anatomic Pathology physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since March 25, 2006.
## Identity
- **NPI:** 1508826215 (Entity type: Individual)
- **Enumerated:** March 25, 2006
- **Primary specialty:** Pathology - Anatomic Pathology · taxonomy 207ZP0101X
- **State license:** 037296 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, DEPARTMENT OF PATHOLOGY, Lawrenceville, GA 30046-7694
- **Phone:** (800) 346-1811 · **Fax:** (706) 378-8864
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Gwinnett Pathology Assoc PC (NPI 1104887330, Lawrenceville, GA); Southern Gastroenterology Associates, LLC (NPI 1205886504, Lawrenceville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 1987
## Record status
- **NPPES last updated:** August 31, 2016
- **Other identifiers:** Medicare UPIN F71100; Medicare PIN 220012164 (GA); Medicare PIN 22BDCJJ (GA); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1508826215) · Data from the CMS NPPES public registry.