SOUTHEASTERN PATHOLOGY ASSOCIATES PC
NPI 1821104704
Pathology - Anatomic Pathology & Clinical Pathology in Brunswick, GA
About Southeastern Pathology Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTERN PATHOLOGY ASSOCIATES PC (NPI 1821104704) is a healthcare organization registered as an anatomic pathology & clinical pathology in Brunswick, Georgia and active in the NPI registry since August 2006. The organization lists Patrick E Godbey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 7
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeastern Pathology Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
40Medicare enrollment records show 40 clinicians reassign Medicare billing to Southeastern Pathology Associates PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 40Brunswick, GA 31525
Brunswick, GA 31525
Brunswick, GA 31525
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 Associates PC's NPI number?
The NPI number for Southeastern Pathology Associates PC is 1821104704. It was assigned to this organization in the NPPES registry on August 22, 2006.
Where is Southeastern Pathology Associates PC located?
Southeastern Pathology Associates PC is located at 203 Indigo Dr, Brunswick, GA 31525. The listed phone number is (912) 261-2669.
What is Southeastern Pathology Associates PC's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Southeastern Pathology Associates PC enrolled in Medicare?
Yes. Southeastern Pathology Associates PC is registered in the Medicare PECOS enrollment system.
When is Southeastern Pathology Associates PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southeastern Pathology Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians, all in Pathology, reassign their Medicare billing to Southeastern Pathology Associates PC. 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, 10 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeastern Pathology Associates PC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Southeastern Pathology Associates PC 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 Associates PC was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Southeastern Pathology Associates Pc · NPI 1821104704
Anatomic Pathology & Clinical Pathology organization in Brunswick, Georgia. Organization record, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1821104704 (Entity type: Organization)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **Organization subpart:** No
- **Authorized official:** Patrick Godbey, PRESIDENT
## Practice location
- **Address:** 203 INDIGO DR, Brunswick, GA 31525-6865
- **Phone:** (912) 261-2669 · **Fax:** (912) 261-0753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 40 clinicians (Pathology) reassign Medicare billing to this organization (form CMS-855R); 10 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1821104704/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2021
- **Other identifiers:** Medicaid 197742702A (GA); Medicaid 031806000 (FL); Medicaid 197742702B (GA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1821104704) · Data from the CMS NPPES public registry.