Physician Compare National (NPI:1306937461)

HEALTHCARE PROVIDER: DOUGLAS CALDWELL COLLINS 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	1306937461
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3375627706
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080225000393
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	COLLINS
	Individual professional last name
Provider First Name	DOUGLAS
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	HEMATOLOGY/ONCOLOGY
	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	320 PKWY DR NE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 232
	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	303131213
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110078
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	EMORY UNIVERSITY HOSPITAL MIDTOWN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110115
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSTAR ATLANTA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y