Physician Compare National (NPI:1982940128)

HEALTHCARE PROVIDER: SHIRLEY PAUL CRNA

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

Individual Professional Information
NPI	1982940128
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1759526163
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190926003329
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAUL
	Individual professional last name
Provider First Name	SHIRLEY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	DPI OF GEORGIA 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	0941546923
	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	10
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	300 COLONIAL CTR PKWY
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100N
	Group Practice or individual's line 2 address
City	ROSWELL
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300764892
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2259230030
	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