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SOUTHEASTERN PATHOLOGY ASSOCIATES PC
NPI 1992963268
Pathology - Anatomic Pathology & Clinical Pathology in Brunswick, GA

Active since May 23, 2008
203 INDIGO DR, BRUNSWICK, GA 31525(912) 261-2669(912) 261-0753 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southeastern Pathology Associates Pc NPPES

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

SOUTHEASTERN PATHOLOGY ASSOCIATES PC (NPI 1992963268) is a healthcare organization registered as an anatomic pathology & clinical pathology in Brunswick, Georgia and active in the NPI registry since May 2008. The organization lists Patrick E Godbey, President, as its authorized official.

NPPES Registry Identity

NPI1992963268
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameSOUTHEASTERN PATHOLOGY ASSOCIATES PC
Location Address203 INDIGO DRBrunswick, GA 31525-6865
Mailing Address203 Indigo DrBrunswick, GA 31525-6865 · (888) 261-2671 · Fax (912) 261-0561
Phone(912) 261-2669
Fax(912) 261-0753
Organization SubpartNo
Authorized OfficialPatrick E GodbeyPresident · (912) 261-2669
Enumeration DateMay 23, 2008
Last NPPES UpdateNovember 30, 2017
✔ NPI 1992963268 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.
203 INDIGO DR, Brunswick, GA 31525
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Other Identifiers 3

Medicare PINP00081346GA
Medicare PIN69WBDMGGA
Medicaid197742702BGA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

33

Medicare enrollment records show 33 clinicians reassign Medicare billing to Southeastern Pathology Associates PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 33
Oana Bulugean, M.D.
Pathology
NPI 1871844647
203 INDIGO DR
Brunswick, GA 31525
(912) 261-2669
✔ PECOS✔ Accepts MedicareSame address
Mark Hanly, MBCHB, FRCPATHLOND
Pathology
NPI 1619951258
203 INDIGO DR
Brunswick, GA 31525
(912) 261-2669
✔ PECOSSame address
Olga Tate, M.D.
Pathology
NPI 1982883138
203 INDIGO DR
Brunswick, GA 31525
(912) 261-2669
✔ PECOS✔ Accepts MedicareSame address
Yumi Kojima, D.O.
Pathology
NPI 1023451663
203 INDIGO DR
Brunswick, GA 31525
(912) 261-2669
✔ PECOS✔ Accepts MedicareSame address
Carolyn Wall, M.D.
Pathology
NPI 1124002712
203 INDIGO DRIVE SOUTHEASTERN PATHOLOGY ASSOCIATES, PC
Brunswick, GA 31525
(912) 279-1900
✔ PECOS✔ Accepts Medicare0.1 mi
Janet Hon, MD
Pathology
NPI 1073607388
3011 HAMPTON AVE SEPA
Brunswick, GA 31520
(912) 261-2669
✔ PECOS✔ Accepts Medicare5.5 mi
Roger Lane, M.D.
Pathology
NPI 1639154834
3011 HAMPTON AVE
Brunswick, GA 31520
(912) 261-2669
✔ PECOS✔ Accepts Medicare5.5 mi
Timothy Mcintire, M.D.
Pathology
NPI 1578637542
3011 HAMPTON AVE SUITE 200
Brunswick, GA 31520
(912) 261-2669
✔ PECOS✔ Accepts Medicare5.5 mi
Robert Wade, MD
Pathology
NPI 1114911054
410 DARLING AVE
Waycross, GA 31501
(912) 261-2669
✔ PECOS✔ Accepts Medicare53 mi
Ahmad Alkhasawneh
Pathology
NPI 1912135641
655 W 8TH ST C-506
Jacksonville, FL 32209
(904) 244-4861
✔ PECOS✔ Accepts Medicare63 mi
Amal Mohammed M Shukri
Pathology
NPI 1396198149
655 W 8TH ST
Jacksonville, FL 32209
(904) 244-5518
✔ PECOS63 mi
David Holloman, MD
Pathology
NPI 1003906884
800 PRUDENTIAL DR
Jacksonville, FL 32207
(843) 323-8883
✔ PECOS✔ Accepts Medicare66 mi
Ramila Amre, M.D
Pathology
NPI 1558819318
800 PRUDENTIAL DR
Jacksonville, FL 32207
(912) 261-2669
✔ PECOS✔ Accepts Medicare66 mi
Carla Ayala Soriano, MD
Pathology
NPI 1386184349
800 PRUDENTIAL DR
Jacksonville, FL 32207
(912) 261-2669
✔ PECOS66 mi
Esther Bit-Ivan, D.O.
Pathology
NPI 1265678015
800 PRUDENTIAL DR
Jacksonville, FL 32207
(912) 261-2669
✔ PECOS✔ Accepts Medicare66 mi
Wesley Jones, M.D.
Pathology
NPI 1417183633
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-1041
✔ PECOS✔ Accepts Medicare66 mi
Xin Liu, MD
Pathology
NPI 1487996112
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-2000
✔ PECOS✔ Accepts Medicare66 mi
Arcadio Oliva, MD
Pathology
NPI 1275512295
800 PRUDENTIAL DR
Jacksonville, FL 32207
(912) 261-2669
✔ PECOS✔ Accepts Medicare66 mi
Thuy Penedo, M.D.
Pathology
NPI 1114151933
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-2012
✔ PECOS✔ Accepts Medicare66 mi
Lachlan Macleay, M.D.
Pathology
NPI 1215023767
1771 BAPTIST CLAY DR
Fleming Island, FL 32003
(904) 516-1273
✔ PECOS✔ Accepts Medicare82 mi
See all 33 clinicians

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 1992963268. It was assigned to this organization in the NPPES registry on May 23, 2008.

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.

How many clinicians bill Medicare through Southeastern Pathology Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 33 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, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeastern Pathology Associates PC was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.