Physician Compare National (NPI:1720426695)

HEALTHCARE PROVIDER: JOEL R. GARRISON D.O.

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

Individual Professional Information
NPI	1720426695
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143517599
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160928001724
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GARRISON
	Individual professional last name
Provider First Name	JOEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
	Individual professional's medical school
Graduation Year	2013
	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
Organization Legal Name	PIEDMONT MEDICAL CARE 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	6002802220
	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	210
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2161 W SPRING ST
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	MONROE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306553196
	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
Professional Accepts Medicare Assignment	Y