Physician Compare National (NPI:1902086549)

HEALTHCARE PROVIDER: JAMES CHADWICK MANN 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	1902086549
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2466609029
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170629000241
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MANN
	Individual professional last name
Provider First Name	JAMES
	Individual professional first 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	2007
	Individual professional's medical school graduation year
Primary Specialty	DIAGNOSTIC RADIOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	RADIOLOGY OF HUNTSVILLE PC
	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	2567458359
	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	50
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	185 HOSPITAL RD
	Group Practice or individual's line 1 address
City	WINCHESTER
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373982404
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2565390457143
	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	010039
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HUNTSVILLE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	010131
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	CRESTWOOD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	010061
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	HIGHLANDS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	010059
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	LAWRENCE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	010079
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	ATHENS LIMESTONE HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1902086549)

HEALTHCARE PROVIDER: JAMES CHADWICK MANN M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information