Physician Compare National (NPI:1992940258)

HEALTHCARE PROVIDER: SIDNEY JAMES MORGAN M.D., M.P.H.

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

Individual Professional Information
NPI	1992940258
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0143453126
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160902001041
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MORGAN
	Individual professional last name
Provider First Name	SIDNEY
	Individual professional first name
Provider Middle Name	JAMES
	Individual professional middle name
Provider Name Suffix Text	III
	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	MERCER UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	105 ROCKY FORD RD
	Group Practice or individual's line 1 address
City	SYLVANIA
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	304672027
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	111312
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	OPTIM MEDICAL CENTER - SCREVEN
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	110075
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	EAST GEORGIA REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y