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SOUTHEASTERN PATHOLOGY, P.C.
NPI 1508848300
Pathology - Anatomic Pathology & Clinical Pathology in Rome, GA

Active since November 17, 2005
311 W 8TH ST NE, ROME, GA 30165(706) 291-8702(706) 291-6514 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeastern Pathology, P.c. NPPES

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

SOUTHEASTERN PATHOLOGY, P.C. (NPI 1508848300) is a healthcare organization registered as an anatomic pathology & clinical pathology in Rome, Georgia and active in the NPI registry since November 2005. The organization lists Tina G Burkhalter, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508848300
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTHEASTERN PATHOLOGY, P.C.
Location Address311 W 8TH ST NERome, GA 30165-2723
Mailing Address311 W 8th St NeRome, GA 30165-2723 · (706) 291-8702 · Fax (706) 291-6514
Phone(706) 291-8702
Fax(706) 291-6514
Organization SubpartNo
Authorized OfficialTina G BurkhalterOffice Manager · (706) 314-0120
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 14, 2010
✔ NPI 1508848300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in GA · 11D0256839
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 · CytopathologyTaxonomy 207ZC0500X · License 11D0256839 (GA)
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 11D0256839 (GA)
311 W 8TH ST NE, Rome, GA 30165
Open in Google Maps ↗

Other Identifiers 6

Other11-0291GA · Uhc Practice Prov#
Medicare PINH287AL
Medicaid00067691AGA
Medicare ID-Type Unspecified690403899GA · Rr Medicare Lab Prov#
Other11D0256839GA · Clia#
Medicare PIN=========AGA

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Pathology, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Southeastern Pathology, P.C., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (11)

Kara Coleman, M.D.
Pathology
NPI 1649538570
311 W 8TH ST NE
Rome, GA 30165
(706) 291-2430
✔ PECOS✔ Accepts MedicareSame address
Shu Kwun Lui, M.D.
Pathology
NPI 1891216636
311 WEST 8TH STREET, NE
Rome, GA 30165
(706) 291-8702
✔ PECOS✔ Accepts MedicareSame address
Kendall Brewer, M.D.
Pathology
NPI 1457732992
311 WEST 8TH STREET
Rome, GA 30165
(706) 291-8702
✔ PECOS✔ Accepts MedicareSame address
Paul Hillesheim, DO
Pathology
NPI 1942361688
311 WEST 8TH STREET
Rome, GA 30165
(706) 291-8702
✔ PECOS✔ Accepts MedicareSame address
Christopher Kligora, M.D.
Pathology
NPI 1588667380
311 W 8TH ST NE
Rome, GA 30165
(706) 291-8702
✔ PECOS✔ Accepts MedicareSame address
Frederick Swiger, M.D.
Pathology
NPI 1740283530
311 W 8TH ST NE
Rome, GA 30165
(706) 291-8702
✔ PECOS✔ Accepts MedicareSame address
Susan Shirley, M.D.
Pathology
NPI 1427107036
1899 TATE BLVD SE
Hickory, NC 28602
(828) 322-3821
✔ PECOS✔ Accepts Medicare242 mi
Kendall Price, MD
Pathology
NPI 1356373476
1875 WOODWINDS DR STE 220
Woodbury, MN 55125
(651) 264-1500
✔ PECOS✔ Accepts Medicare844 mi
Maximilian Goebel, M.D.
Pathology
NPI 1043665409
101 E VALENCIA MESA DR
Fullerton, CA 92835
(714) 446-7505
✔ PECOS✔ Accepts Medicare1,870 mi
Stacy Webb, MD
Pathology
NPI 1457980674
3181 SW SAM JACKSON PARK RD
Portland, OR 97239
(503) 494-8276
✔ PECOS✔ Accepts Medicare2,116 mi
Anjana Vijayvargiya, MD
Pathology
NPI 1790870988
800 HOWARD AVE YALE PHYSICIANS BLDG
New Haven, CT 06520
(203) 785-2140
✔ PECOS✔ Accepts Medicare

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 Southeastern Pathology, P.C.'s NPI number?

The NPI number for Southeastern Pathology, P.C. is 1508848300. It was assigned to this organization in the NPPES registry on November 17, 2005.

Where is Southeastern Pathology, P.C. located?

Southeastern Pathology, P.C. is located at 311 W 8th St NE, Rome, GA 30165. The listed phone number is (706) 291-8702.

What is Southeastern Pathology, P.C.'s specialty?

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

Is Southeastern Pathology, P.C. enrolled in Medicare?

Yes. Southeastern Pathology, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Pathology, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Pathology, reassign their Medicare billing to Southeastern Pathology, P.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeastern Pathology, P.C. accept?

Health plans from Alliant Health Plans, Inc. list Southeastern Pathology, P.C. 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.

When was this NPI record last updated?

The NPPES record for Southeastern Pathology, P.C. was last updated on January 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.