Physician Compare National (NPI:1558344994)

HEALTHCARE PROVIDER: RONALD TIMOTHY JABALEY II 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	1558344994
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486547957
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050329000021
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JABALEY
	Individual professional last name
Provider First Name	RONALD
	Individual professional first name
Provider Middle Name	T
	Individual professional middle name
Provider Name Suffix Text	II
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	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	6 ELM ST
	Group Practice or individual's line 1 address
City	BLUE RIDGE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305132906
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110189
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	FANNIN REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110051
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNION GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	341328
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MURPHY MEDICAL CENTER INC
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110225
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	PIEDMONT MOUNTAINSIDE HOSPITAL INC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y