NPIMap

Individual provider Active NPI

Scott C Clay, MD

  • Family Medicine Physician
  • Brunswick, GA
National Provider Identifier
1003901117
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
052698 Issued in GA
Practice address
3222 Shrine Rd Ste a
Brunswick, GA 31520-4357
Phone
(912) 264-6303
Fax
(912) 264-0042
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 052698 GA Primary

Addresses

Primary practice location

3222 Shrine Rd Ste a
Brunswick, GA 31520-4357

Mailing address

3222 Shrine Rd Ste a
Brunswick, GA 31520-4357
Phone (912) 264-6303

Other identifiers 2

IdentifierTypeStateIssuer
202I081021OtherGAMEDICARE
476938675BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000749 GA Practitioner - Family Practice 7911945779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

3222 Shrine Rd a
Brunswick, GA 31520-4357
Phone (912) 264-6303

5000 Wellness Way
St Simons Island, GA 31522-2287
Phone (912) 466-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052698GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Georgia Health System, Inc. Past Accepting new patients
Hospice of the Golden Isles, Inc. Family Medicine Past Accepting new patients
Macmed LLC Family Medicine Past Accepting new patients

Networks

  • FL HMO
  • FL HMO D-SNP
  • TN PPO
  • AL HMO D-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • TN PPO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • FL HMO C-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • AL HMO
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Interoperability endpoints

  • Direct secure messaging: sclay1@secure.sghsmessaging.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Senior Care Center - BrunswickBrunswick, GA, CCN 115721 Skilled nursing facility Adp of the SNF Apr 14, 2025
Hospice of the Golden Isles, Inc.Brunswick, GA, CCN 111505 Hospice Contracted Managing Employee Oct 25, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1003901117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 SHRINE RD STE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204357",
            "telephone_number": "912-264-6303",
            "fax_number": "912-264-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 SHRINE RD STE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204357",
            "telephone_number": "912-264-6303",
            "fax_number": "912-264-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "052698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I081021",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "476938675B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.