Grand Traverse Pathology, PLLC
NPI 1306868427 · Anatomic Pathology & Clinical Pathology Physician · Traverse City, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Traverse Pathology, PLLC is a Anatomic Pathology & Clinical Pathology Physician organization in Traverse City, MI (NPI 1306868427).
Provider details
- NPI number
- 1306868427
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Ferguson, President(231) 935-6108
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 400 Hobart StCadillac, MI 49601-2331Phone: (231) 876-7200
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2025-04-15
- Certified
- 2025-04-15
Frequently asked questions
- What is Grand Traverse Pathology, PLLC's NPI number?
- Grand Traverse Pathology, PLLC's National Provider Identifier (NPI) is 1306868427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Traverse Pathology, PLLC?
- Grand Traverse Pathology, PLLC is classified in the NPPES registry as Anatomic Pathology & Clinical Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Traverse Pathology, PLLC located?
- Grand Traverse Pathology, PLLC's practice location on file with NPPES is 1105 6th St, Traverse City, MI 49684-2345.
- What is Grand Traverse Pathology, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Traverse Pathology, PLLC is (231) 935-0499.
- Does Grand Traverse Pathology, PLLC accept Medicare?
- Grand Traverse Pathology, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Traverse Pathology, PLLC?
- The authorized official listed on Grand Traverse Pathology, PLLC's NPPES record is Amy Ferguson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Traverse Pathology, PLLC's NPI active?
- Yes — Grand Traverse Pathology, PLLC's NPI (1306868427) is active in the NPPES registry as of the last update on 2025-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.