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

Robert Keath Wade, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1114911054

Robert Keath Wade, MD is a Pathology in Waycross, Georgia. Graduated from University of Tennessee, Hsc, College of Medicine in 1978, 48 years ago. Practices with Southeastern Pathology Associates PC, a 44-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
48
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

410 Darling Ave
Waycross, GA 31501-5246
Phone: (912) 261-2669
Fax: (912) 261-0561
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 055575 (GA)

Record details

NPI number1114911054
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESApril 29, 2008
Mailing addressPo Box 30309, Charleston, SC 29417-0309

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Southeastern Pathology Associates Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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