Physician Compare National (NPI:1033198809)

HEALTHCARE PROVIDER: STEPHEN GEORGE PAPPAS M.D.

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

Individual Professional Information
NPI	1033198809
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911069950
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120119000854
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAPPAS
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	NEUROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	131 PEACHTREE ST
	Group Practice or individual's line 1 address
City	JESUP
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	315450211
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110124
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WAYNE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110025
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	111335
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	LIBERTY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y