Physician Compare National (NPI:1033172648)

HEALTHCARE PROVIDER: EDWARD ELAM HAYES 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	1033172648
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496773889
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130717000413
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAYES
	Individual professional last name
Provider First Name	EDWARD
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	100 MEDICAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	DUBLIN
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	310212561
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110125
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FAIRVIEW PARK HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110092
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	DODGE COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110086
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	WASHINGTON COUNTY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110128
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MEADOWS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y