Physician Compare National (NPI:1205814548)

HEALTHCARE PROVIDER: ROBERT RHODES III 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	1205814548
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9638152374
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040611001178
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RHODES
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	A
	Individual professional middle 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	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ATHENS RADIOLOGY ASSOCIATES
	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	2860486107
	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	29
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1199 PRINCE AVE
	Group Practice or individual's line 1 address
City	ATHENS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306062797
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110074
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT ATHENS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110046
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CLEARVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110027
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	TY COBB REGIONAL MEDICAL CENTER, LLC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	111329
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	ST. MARY'S GOOD SAMARITAN HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y