Physician Compare National (NPI:1689609877)

HEALTHCARE PROVIDER: MICHAEL A. DUKE 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	1689609877
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3577729342
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120723000786
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DUKE
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	540 W THOMAS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE B
	Group Practice or individual's line 2 address
City	MILLEDGEVILLE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	310612745
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110150
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NAVICENT HEALTH BALDWIN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	111313
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PUTNAM GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y