Physician Compare National (NPI:1265905392)

HEALTHCARE PROVIDER: JI NA CROFT RN

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

Individual Professional Information
NPI	1265905392
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8729320213
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190502002123
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROFT
	Individual professional last name
Provider First Name	JI NA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EMORY UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PIEDMONT CARDIOLOGY OF ATLANTA, LLC
	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	0345321691
	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	239
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	95 COLLIER NWRD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 5015
	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	303091721
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4046055100
	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	110083
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PIEDMONT HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y