Physician Compare National (NPI:1003801432)

HEALTHCARE PROVIDER: PARKS WINFIELD PRATT III MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003801432
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931272457
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080716000760
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PRATT
	Individual professional last name
Provider First Name	PARKS
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Name Suffix Text	III
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4300 W MAIN ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 102
	Group Practice or individual's line 2 address
City	DOTHAN
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	363051306
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHEAST ALABAMA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010049
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CENTER ENTERPRISE
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010021
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DALE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	100142
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	JACKSON HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	110194
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	DONALSONVILLE HOSPITAL INC
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1003801432)

HEALTHCARE PROVIDER: PARKS WINFIELD PRATT III MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information