Carolyn Kinzer-Bezanson Wall, M.D.
NPI 1124002712ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Brunswick, GA
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in Brunswick, Georgia, trained at Medical College of Georgia School of Medicine (class of 1992). Medicare paid $58,632 for services to 757 patients in 2024.
Overview
| NPI | 1124002712 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 6, 2005 |
| Last updated in NPPES | Dec 5, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 038275 | GA |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME85489 | FL |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD29387 | SC |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD317652 | AL |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.12093R/INACTIVE | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (FL); Practitioner - Pathology (GA); Practitioner - Pathology (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 757 |
|---|---|
| Services billed | 1,495 across 27 procedure codes |
| Paid by Medicare | $58,632 |
Education and affiliations
| Medical school | Medical College of Georgia School of Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Pathology |
Medical group
- Southeastern Pathology Associates PCJacksonville, FL · 45 clinicians
Hospital affiliations
- East Georgia Regional Medical CenterStatesboro, GA
- Effingham Health SystemSpringfield, GA
- Jeff Davis HospitalHazlehurst, GA
- Piedmont Columbus Regional MidtownColumbus, GA
- Southeast Georgia Health System- Brunswick CampusBrunswick, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 pathologists in Brunswick · All pathologists in Georgia