CAROLYN K. WALL M.D. – NPI #1124002712
Pathology

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.

Health Care Provider Taxonomy Code for Pathology

CAROLYN WALL is a pathologist located in BRUNSWICK, GA. NPPES has assigned the NPI number 1124002712 to CAROLYN WALL on December 06, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name CAROLYN A KINZER-BEZANSON. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 12 years ago on Dec 05, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAROLYN WALL below.

NPI Profile for
CAROLYN K. WALL

NPI Number
1124002712
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CAROLYN K. WALL
Other Name: CAROLYN A KINZER-BEZANSON
Credentials
M.D.
Primary location
203 INDIGO DRIVE
SOUTHEASTERN PATHOLOGY ASSOCIATES, PC
BRUNSWICK, GA 31525
Phone: (912) 279-1900 Fax: (912) 261-0753
Mailing address
PO BOX 30309
CHARLESTON, SC 29417
Phone: (843) 554-9300 Fax: (843) 566-8780
Sole Proprietor
No
Updated
Identifiers

Identifiers for CAROLYN WALL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDGA000931356
MEDICAIDGA000931356E
MEDICAIDGA000931356C
MEDICAIDGA000931356F
MEDICAIDGA000931356B
MEDICAIDGA000931356I
MEDICAIDGA000931356A
MEDICAIDGA000931356D
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)		 GA 038275

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE - Graduated 1992
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CAROLYN WALL is affiliated with the following medical group(s):
  • HOSPITAL
    • EAST GEORGIA REGIONAL MEDICAL CENTER
      1499 FAIR ROAD
      STATESBORO, GA 30458
    • EFFINGHAM HEALTH SYSTEM
      459 GA HIGHWAY 119 SOUTH
      SPRINGFIELD, GA 31329
    • JEFF DAVIS HOSPITAL
      163 SOUTH TALLAHASSEE STREET
      HAZLEHURST, GA 31539
    • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS
      2415 PARKWOOD DRIVE
      BRUNSWICK, GA 31520
    • WAYNE MEMORIAL HOSPITAL
      865 SOUTH FIRST STREET
      JESUP, GA 31545

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