Physician Compare National (NPI:1801979398)

HEALTHCARE PROVIDER: KIMBERLY STANCIL TURNER 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	1801979398
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2567658115
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101123000012
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TURNER
	Individual professional last name
Provider First Name	KIMBERLY
	Individual professional first name
Provider Middle Name	STANCIL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	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	WALTON FAMILY MEDICINE, P.C.
	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	4385632314
	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	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	521 GREAT OAKS DR
	Group Practice or individual's line 1 address
City	MONROE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	306558211
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7702677093
	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	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
Hospital Affiliation CCN 2	110192
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EASTSIDE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110074
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PIEDMONT ATHENS REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y