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THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
NPI 1679837116
Pathology - Anatomic Pathology & Clinical Pathology in Crestview, FL

Active since June 29, 2012
151 E REDSTONE AVE, CRESTVIEW, FL 32539(850) 689-8100 Get Directions Write a Review

NPPES record last updated: December 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Pathology Group Of Northwest Florida Pllc NPPES

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

THE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC (NPI 1679837116) is a healthcare organization registered as an anatomic pathology & clinical pathology in Crestview, Florida and active in the NPI registry since June 2012. The organization lists North Davis, President, as its authorized official.

NPPES Registry Identity

NPI1679837116
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameTHE PATHOLOGY GROUP OF NORTHWEST FLORIDA PLLC
Location Address151 E REDSTONE AVECrestview, FL 32539-5352
Mailing AddressPo Box 3093Boca Raton, FL 33431-0993 · (850) 438-1154 · Fax (850) 433-6034
Phone(850) 689-8100
Organization SubpartNo
Authorized OfficialNorth DavisPresident · (800) 288-8325
Enumeration DateJune 29, 2012
Last NPPES UpdateDecember 4, 2022
NPPES CertifiedDecember 4, 2022
✔ NPI 1679837116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
151 E REDSTONE AVE, Crestview, FL 32539
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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 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)

The Pathology Group Of Northwest Florida Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Pathology Group Of Northwest Florida PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

North Davis, M.D.
Pathology
NPI 1245242700
4724 NORTH DAVIS HWY 2ND FLOOR
Pensacola, FL 32503
(850) 438-1154
✔ PECOS✔ Accepts Medicare44 mi
Janis Mcneil, MD
Pathology
NPI 1972582146
2500 N STATE ST
Jackson, MS 39216
(601) 984-6426
✔ PECOS✔ Accepts Medicare240 mi

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 The Pathology Group Of Northwest Florida PLLC's NPI number?

The NPI number for The Pathology Group Of Northwest Florida PLLC is 1679837116. It was assigned to this organization in the NPPES registry on June 29, 2012.

Where is The Pathology Group Of Northwest Florida PLLC located?

The Pathology Group Of Northwest Florida PLLC is located at 151 E Redstone Ave, Crestview, FL 32539. The listed phone number is (850) 689-8100.

What is The Pathology Group Of Northwest Florida PLLC's specialty?

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

Is The Pathology Group Of Northwest Florida PLLC enrolled in Medicare?

Yes. The Pathology Group Of Northwest Florida PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Pathology Group Of Northwest Florida PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pathology, reassign their Medicare billing to The Pathology Group Of Northwest Florida 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Pathology Group Of Northwest Florida PLLC was last updated on December 4, 2022. 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.