Physician Compare National (NPI:1811136468)

HEALTHCARE PROVIDER: ADAM S HARRIS 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	1811136468
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6800031337
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130919000151
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARRIS
	Individual professional last name
Provider First Name	ADAM
	Individual professional first name
Provider Middle Name	S
	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 ALABAMA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	4600 HWY 280
	Group Practice or individual's line 1 address
City	BIRMINGHAM
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	352425028
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010056
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST VINCENT'S BIRMINGHAM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010104
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	GRANDVIEW MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010011
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST. VINCENT'S EAST
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010125
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LAKELAND COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	011305
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ST VINCENTS BLOUNT
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1811136468)

HEALTHCARE PROVIDER: ADAM S HARRIS MD

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information