Physician Compare National (NPI:1740235811)

HEALTHCARE PROVIDER: SHERRY G SHIRLEY - JONES 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	1740235811
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072410877
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031218000725
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHIRLEY-JONES
	Individual professional last name
Provider First Name	SHERRY
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2002
	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
Organization Legal Name	CUMBERLAND FAMILY MEDICAL CENTER, INC.
	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	6305947789
	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	83
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	937 CAMPBELLSVILLE RD
	Group Practice or individual's line 1 address
City	COLUMBIA
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	427282265
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2703842777
	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	180149
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TJ HEALTH COLUMBIA
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	180087
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	TAYLOR REGIONAL HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	180017
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	T J SAMSON COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	181330
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	RUSSELL COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y