Physician Compare National (NPI:1306959754)

HEALTHCARE PROVIDER: WAYNE DWIGHT AUSTIN 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	1306959754
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224102850
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080731000011
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	AUSTIN
	Individual professional last name
Provider First Name	WAYNE
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1978
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	260 N BROAD ST
	Group Practice or individual's line 1 address
City	WINDER
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306802180
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7708679800
	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	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	110045
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	BARROW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110006
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST MARY'S HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110029
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	NORTHEAST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	110087
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	GWINNETT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1306959754)

HEALTHCARE PROVIDER: WAYNE DWIGHT AUSTIN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information