Physician Compare National (NPI:1730290933)

HEALTHCARE PROVIDER: DAVID FREDERICK HERMANN 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	1730290933
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5294897559
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081219000412
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HERMANN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1972
	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	109 W SAVANNAH ST
	Group Practice or individual's line 1 address
City	TOCCOA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	305772349
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7062820779
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	110032
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STEPHENS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110027
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TY COBB REGIONAL MEDICAL CENTER, LLC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y