Physician Compare National (NPI:1790719318)

HEALTHCARE PROVIDER: JARROD B. ADKISON 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	1790719318
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042402083
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101008000048
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADKISON
	Individual professional last name
Provider First Name	JARROD
	Individual professional first name
Provider Middle Name	B.
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	RADIATION ONCOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1108 ROSS CLARK CIR
	Group Practice or individual's line 1 address
City	DOTHAN
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	363013022
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010001
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SOUTHEAST ALABAMA MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010055
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	FLOWERS HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y