Physician Compare National (NPI:1689881732)

HEALTHCARE PROVIDER: STEPHEN N NEIL MEYERS 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	1689881732
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2860530888
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091112000202
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MEYERS
	Individual professional last name
Provider First Name	STEPHEN
	Individual professional first name
Provider Middle Name	NEIL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PREVENTATIVE MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PREVENTATIVE MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2704 N OAK ST
	Group Practice or individual's line 1 address
Line 2 Street Address	BUILDING M
	Group Practice or individual's line 2 address
City	VALDOSTA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	316021791
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110122
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTH GEORGIA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y