Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Diane Kinsella, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205010790

Mary Diane Kinsella, MD is a Pathology in Conyers, Georgia. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2007, 19 years ago. Practices with Pathology and Laboratory Medicine, PC, a 26-clinician group and works from 2 locations. Licensed in Georgia.

Years since qualifying
19
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1412 Milstead Ave NE Dept OF
Conyers, GA 30012
Phone: (678) 423-1550
Fax: (678) 423-1550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 — (678) 423-1550

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 64527 (GA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 002586 (GA)

Record details

NPI number1205010790
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 20, 2007
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Pathology And Laboratory Medicine, Pc — 26 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Conyers