Physician Compare National (NPI:1982639902)

HEALTHCARE PROVIDER: JAMES DOUGLAS QUARLES JR. MD

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

Individual Professional Information
NPI	1982639902
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4981898418
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101028001389
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QUARLES
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	D
	Individual professional middle 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	MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	UROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	AUGUSTA UROLOGY ASSOCIATES, 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	9234226440
	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	7
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	4350 TOWNE CENTRE DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2200
	Group Practice or individual's line 2 address
City	EVANS
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	308093346
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7067220705
	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	110028
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	420082
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AIKEN REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	421304
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	EDGEFIELD COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y