Physician Compare National (NPI:1407955248)

HEALTHCARE PROVIDER: MICHAEL ALAN BOYD 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	1407955248
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8921187410
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080508000749
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BOYD
	Individual professional last name
Provider First Name	MICHAEL
	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.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	KNOXVILLE HMA PHYSICIAN MANAGEMENT, 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	6103097316
	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	73
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	905 E CENTRAL AVE
	Group Practice or individual's line 1 address
City	LA FOLLETTE
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	377662768
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4239071672
	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	010006
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ELIZA COFFEE MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440033
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAFOLLETTE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y