Physician Compare National (NPI:1285147231)

HEALTHCARE PROVIDER: JADA MCNAIR ELLIOTT LMSW

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

Individual Professional Information
NPI	1285147231
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820322464
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190701002453
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELLIOTT
	Individual professional last name
Provider First Name	JADA
	Individual professional first name
Provider Middle Name	MCNAIR
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	152 NEW ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1031
	Group Practice or individual's line 2 address
City	MACON
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	312017304
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y