Physician Compare National (NPI:1134103195)

HEALTHCARE PROVIDER: WILLIAM D LYDAY II 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	1134103195
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7911042262
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101124000153
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LYDAY
	Individual professional last name
Provider First Name	WILLIAM
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	5669 PEACHTREE DUNWOODY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 240
	Group Practice or individual's line 2 address
City	ATLANTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	303421719
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110016
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WEST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110233
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SOUTHEASTERN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y