Physician Compare National (NPI:1013084615)

HEALTHCARE PROVIDER: LYNN M MILLER DO

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

Individual Professional Information
NPI	1013084615
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1557360765
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20180529000652
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MILLER
	Individual professional last name
Provider First Name	LYNN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	NEUROSURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	NORTH MISSISSIPPI MEDICAL CENTER INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	9931010600
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	228
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4381 S EASON BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 302
	Group Practice or individual's line 2 address
City	TUPELO
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	388016584
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6623775700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250004
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTH MISSISSIPPI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250002
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TISHOMINGO HEALTH SERVICES INC
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250009
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MAGNOLIA REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y