Physician Compare National (NPI:1881615029)

HEALTHCARE PROVIDER: SCOTTIE LYNN TWILLEY D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1881615029
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2769386960
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20031120000333
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TWILLEY
	Individual professional last name
Provider First Name	SCOTTIE
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	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	CHICAGO COLLEGE OF OSTEOPATHY
	Individual professional's medical school
Graduation Year	1996
	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	426 SCHOOL ST
	Group Practice or individual's line 1 address
City	CORDOVA
	Group Practice or individual's city
State	AL
	Group Practice or individual's state
Zip Code	355506000
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	010089
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WALKER BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M