Physician Compare National (NPI:1558514232)

HEALTHCARE PROVIDER: SHAHID ATTA ELAHI DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558514232
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264596873
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130220000302
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELAHI
	Individual professional last name
Provider First Name	SHAHID
	Individual professional first name
Provider Middle Name	ATTA
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	HOSPITALIST
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	HOSPITAL PHYSICIAN SERVICES - SOUTHEAST PROFESSIONAL CORPORATION
	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	5597774554
	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	327
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3651 WHEELER RD
	Group Practice or individual's line 1 address
City	AUGUSTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	309096521
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7066513232
	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	110143
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WELLSTAR COBB HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110042
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WELLSTAR PAULDING HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110177
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DOCTORS HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110016
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	WEST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y