Physician Compare National (NPI:1700023330)

HEALTHCARE PROVIDER: MICHEL JEANNOT

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

Individual Professional Information
NPI	1700023330
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9335292051
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110708000529
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JEANNOT
	Individual professional last name
Provider First Name	MICHEL
	Individual professional first 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	2001
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	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
Secondary Specialty 2	SLEEP MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE, SLEEP MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	101 TARA COMMONS DR
	Group Practice or individual's line 1 address
City	LOGANVILLE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300528018
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110046
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CLEARVIEW REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110018
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PIEDMONT NEWTON HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110091
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PIEDMONT ROCKDALE HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110192
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	EASTSIDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y