Physician Compare National (NPI:1063709657)

HEALTHCARE PROVIDER: GERALD RICHARD MCLEMORE JR. 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	1063709657
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618192980
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140627002138
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCLEMORE
	Individual professional last name
Provider First Name	GERALD
	Individual professional first name
Provider Middle Name	R.
	Individual professional middle name
Provider Name Suffix Text	JR.
	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	UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2011
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CAPITAL EMERGENCY PHYSICIANS MADISON PLLC
	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	6406140631
	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	21
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	161 RIVER OAKS DR
	Group Practice or individual's line 1 address
City	CANTON
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	390465375
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8668554000
	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	250038
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERIT HEALTH MADISON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250138
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERIT HEALTH RIVER OAKS
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y