Physician Compare National (NPI:1962667915)

HEALTHCARE PROVIDER: ANTONY LABADY 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	1962667915
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9032253349
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100922000395
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LABADY
	Individual professional last name
Provider First Name	ANTONY
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2008
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	EMERGENCY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	EMERGENCY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ACS PRIMARY CARE PHYSICIANS - SOUTHEAST 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	5193620714
	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	212
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	400 CHARTER BLVD
	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	312104831
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4787578200
	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	110201
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COLISEUM NORTHSIDE HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y