Physician Compare National (NPI:1477534808)

HEALTHCARE PROVIDER: THOMAS HAYDEN OLIVER 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	1477534808
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224061098
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100928001607
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OLIVER
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Middle Name	H
	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	1983
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	UROLOGY GROUP OF ATHENS, P.C.
	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	1759376239
	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	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1500 OGLETHORPE AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2000
	Group Practice or individual's line 2 address
City	ATHENS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306062188
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7068504355
	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	440193
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TENNOVA HEALTHCARE-LEBANON
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	440039
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	VANDERBILT UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y