Physician Compare National (NPI:1518120096)

HEALTHCARE PROVIDER: JUSTIN M. TURNER 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	1518120096
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7810167160
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110824000819
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TURNER
	Individual professional last name
Provider First Name	JUSTIN
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2135 HENRY HILL DR
	Group Practice or individual's line 1 address
City	JACKSON
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	392042027
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250048
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST DOMINIC-JACKSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250072
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MERIT HEALTH CENTRAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	250096
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CROSSGATES RIVER OAKS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	250102
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MISSISSIPPI BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y