Individual provider Active NPI

James U Scott, M.D.

  • Pediatrics Physician
  • Marion, VA
National Provider Identifier
1063455871
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101051683 Issued in VA
Practice address
1020 Terrace Dr
Suite 101
Marion, VA 24354-4392
Phone
(276) 783-8183
Fax
(276) 782-9267
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 055324 GA
Pediatrics Physician 208000000X 0101051683 VA Primary

Addresses

Primary practice location

1020 Terrace Dr
Suite 101
Marion, VA 24354-4392

Mailing address

1020 Terrace Dr
Suite 101
Marion, VA 24354-4392
Phone (276) 783-8183

Other identifiers 3

IdentifierTypeStateIssuer
660889516AMedicaidGA
660889516BMedicaidGA
1063455871MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055324GAMDSpecialist
0101051683VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Oak Pediatric Associates, Inc Pediatrics PastSince Sep 12, 2017 Accepting new patients
Agc Pediatrics, LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1063455871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-8183",
            "fax_number": "276-782-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 101",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-8183",
            "fax_number": "276-782-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JAMES",
        "middle_name": "U",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "055324",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101051683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660889516A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660889516B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063455871",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.