Carolyn Kinzer-Bezanson Wall, M.D.
Anatomic Pathology & Clinical Pathology Physician · Brunswick, GA
Carolyn Kinzer-Bezanson Wall, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Brunswick, Georgia, and NPI 1124002712, issued on Dec 6, 2005. Check the license (Georgia 038275, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Carolyn Kinzer-Bezanson Wall
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 038275 GA
MD317652 AL
ME85489 FL
MD.12093R/INACTIVE LA
MD29387 SC
Self-reported in NPPES; status is on the state search - Practice location
- 203 Indigo Drive, Brunswick, GA 31525
- Phone
- (912) 279-1900
- Enumerated
- Dec 6, 2005
- Record last updated
- Dec 5, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (912) 261-0753
- Medicaid IDs
- 000931356F GA
000931356B GA
000931356A GA
000931356C GA - Medicare enrollment
- Enrolled (PECOS I20100520000777); accepts Medicare assignment
- Medical or professional school
- Medical College Of Georgia School Of Medicine, 1992
- Entity
- Type 1 · individual
8 nearest anatomic pathology & clinical pathology physician records → All 425 in Georgia → Look up another NPI →
Also registered at 203 Indigo Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Patrick Godbey, M.D.Anatomic Pathology & Clinical Pathology Physician1619951332
- Li Ma, M.D.Clinical Pathology Physician1679731095
Verify Carolyn Kinzer-Bezanson Wall in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 038275Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Southeastern Pathology Associates PCStatesboro, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carolyn Kinzer-Bezanson Wall among 425 anatomic pathology & clinical pathology physician records in Georgia
Carolyn Kinzer-Bezanson Wall, M.D. is one of 425 anatomic pathology & clinical pathology physician records with a practice address in Georgia. 56% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 86% newer
- In a Medicare fileYes · 56% of these records are
- In the CMS Doctors and Clinicians fileYes · 50% of these records are
- Graduated1992 · median 2003 among the 214 with a school on file
- Record last updated2014 · 66% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207ZP0102X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
18 anatomic pathology & clinical pathology physician records list a practice address in Brunswick
They are 18 of the 980 NPPES records with a practice address in Brunswick, and 425 anatomic pathology & clinical pathology physician records in Georgia.
All 425 in Georgia → Every provider in Brunswick → Anatomic Pathology & Clinical Pathology Physician nationwide →
The 8 anatomic pathology & clinical pathology physician records with the nearest ZIP codes
- Ningxing Chen, D.O.Brunswick, GA 315251043427636
- Patrick Godbey, M.D.Brunswick, GA 315251619951332
- Mark Hanly, MBCHB, FRCPATHLONDBrunswick, GA 315251619951258
- Seema JabbarBrunswick, GA 315251316367113
- Yumi Kojima, D.O.Brunswick, GA 315251023451663
- David Martin, MDBrunswick, GA 315251932175452
- Rena Rengo, MDBrunswick, GA 315251053591602
- Olga Tate, M.D.Brunswick, GA 315251982883138
Common questions
What is Carolyn Kinzer-Bezanson Wall, M.D.'s NPI number?
Carolyn Kinzer-Bezanson Wall, M.D.'s National Provider Identifier (NPI) is 1124002712, issued on Dec 6, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Carolyn Kinzer-Bezanson Wall, M.D. located?
The NPPES record lists a practice address at 203 Indigo Drive, Brunswick, GA, 31525. Phone: (912) 279-1900. Providers update this record themselves, so call before visiting.
How can I verify Carolyn Kinzer-Bezanson Wall, M.D.'s license?
NPPES lists Georgia license number 038275, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.