Physician Compare National (NPI:1902841307)

HEALTHCARE PROVIDER: NANNETTE RENE CROWLEY 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	1902841307
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8820001928
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060712000256
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROWLEY
	Individual professional last name
Provider First Name	NANNETTE
	Individual professional first name
Provider Middle Name	R
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	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	MERCER UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	HEART OF GEORGIA RHEUMATOLOGY LLC
	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	7113246760
	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	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1508 A HARDEMAN AVE
	Group Practice or individual's line 1 address
City	MACON
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	312011471
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4787423704200
	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	110107
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MEDICAL CENTER, NAVICENT HEALTH (THE)
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	111310
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MEDICAL CENTER OF PEACH COUNTY, NAVICENT HEALTH
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	110150
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	NAVICENT HEALTH BALDWIN
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	110069
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	HOUSTON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y