Physician Compare National (NPI:1902132988)

HEALTHCARE PROVIDER: CHARLES FRANKLIN JOHNSON 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	1902132988
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9830381433
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101013001145
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	JOHNSON
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	FRANKLIN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	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	FAMILY PRACTICE ASSOCIATES OF HAMILTON CO PA
	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	3375514607
	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	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	303 N BROWN
	Group Practice or individual's line 1 address
City	HAMILTON
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	765311515
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2543863102
	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	451392
	Medicare CCN of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y