Physician Compare National (NPI:1891235289)

HEALTHCARE PROVIDER: LOGAN HARDIN

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

Individual Professional Information
NPI	1891235289
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8022433390
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200803003468
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARDIN
	Individual professional last name
Provider First Name	LOGAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
	Individual professional's medical school
Graduation Year	2017
	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	WT MEDICAL ASSOCIATES
	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	1951650613
	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	37
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1270 UNION UNIVERSITY DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE A
	Group Practice or individual's line 2 address
City	JACKSON
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	383053856
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7316640103
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y