Physician Compare National (NPI:1023095536)

HEALTHCARE PROVIDER: STANLEY M IRELAND 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	1023095536
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082747100
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100727000049
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	IRELAND
	Individual professional last name
Provider First Name	STANLEY
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
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	1984
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	WEAVER HEALTH SERVICES LLC
	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	5799078788
	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	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	7566 NASHVILLE ST
	Group Practice or individual's line 1 address
City	RINGGOLD
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	307362361
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7069353600
	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	440091
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEMORIAL HEALTHCARE SYSTEM, INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y