Physician Compare National (NPI:1932107349)

HEALTHCARE PROVIDER: JAMES KEVIN ELSEY 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	1932107349
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9133290182
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080618000420
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ELSEY
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	K
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1979
	Individual professional's medical school graduation year
Primary Specialty	GENERAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	VASCULAR SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	VASCULAR SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	631 PROFESSIONAL DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	LAWRENCEVILLE
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300463371
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7709629977
	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	110087
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GWINNETT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y