Mary Diane Kinsella, M.D.
NPI 1205010790ActiveIndividual· Pathology, Anatomic Pathology & Clinical Pathology· Conyers, GA
Pathology, Anatomic Pathology & Clinical Pathology (M.D.) in Conyers, Georgia, trained at University of North Carolina at Chapel Hill School of Medicine (class of 2007). Medicare paid $100,415 for services to 1,054 patients in 2024.
Overview
| NPI | 1205010790 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 20, 2007 |
| Last updated in NPPES | Aug 10, 2023 |
| Certified by provider | Aug 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology & Clinical Pathology Primary | 207ZP0102X | 64527 | GA |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 002586 | GA |
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 (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,054 |
|---|---|
| Services billed | 3,296 across 12 procedure codes |
| Paid by Medicare | $100,415 |
Education and affiliations
| Medical school | University of North Carolina at Chapel Hill School of Medicine |
|---|---|
| Graduation year | 2007 |
| Medicare specialty | Pathology |
Medical groups
- Gastrointestinal Specialist of GeorgiaWoodstock, GA · 35 clinicians
- Pathology and Laboratory Medicine, PCAtlanta, GA · 27 clinicians
- South Suburban Pathologists PCConyers, GA · 8 clinicians
Hospital affiliation
- Northside HospitalAtlanta, 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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