Physician Compare National (NPI:1730180936)

HEALTHCARE PROVIDER: JOHN FRANCIS CHIULLI 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	1730180936
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5890952493
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120209000701
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHIULLI
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	F
	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	1979
	Individual professional's medical school graduation year
Primary Specialty	PULMONARY DISEASE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	675 WHITE SULPHUR RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 175
	Group Practice or individual's line 2 address
City	GAINESVILLE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305012569
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110029
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	NORTHEAST GEORGIA MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y