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Physician Compare National (NPI:1982803995)

HEALTHCARE PROVIDER: LISA ANNE SWIFT APRN

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

Individual Professional Information

NPI 1982803995
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 4587733498
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20080519000464
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SWIFT
Individual professional last name
Provider First Name LISA
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name EMORY UNIVERSITY SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 2006
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ATHENS GERIATRICS AND INTERNAL MEDICINE, 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 3971601899
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 4
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1500 OGLETHORPE AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 3200
Group Practice or individual's line 2 address
City ATHENS
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 306062190
Group Practice or individual's zip code (9 digits when available)
Phone Number 7065498931
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

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