Physician Compare National (NPI:1982024006)

HEALTHCARE PROVIDER: JEANNAN HAYGOOD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1982024006
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901170893
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20170915000657
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HAYGOOD
	Individual professional last name
Provider First Name	JEANNAN
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2013
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8911 REGENTS PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 510
	Group Practice or individual's line 2 address
City	TAMPA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	336473420
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8139663030
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y