Scott M Stephen, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

39952 Issued in GA

Practice address

200 W Academy Street
Gainesville, GA 30501

Phone

(770) 282-8820

NPI assigned

Nov 18, 2005

Last updated

Jan 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Massachusetts Medical School, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians

Gainesville Radiology Group PCGroup PAC ID 9335046382, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gainesville Radiology Group, PC

  • Diagnostic Radiology Physician
  • Gainesville, GA
  • NPI 1922037605
  Medicare reassignment Care Compare group NPD
• Northside Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1013960657
  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Specialists PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1366424947
  NPD (past)
• Houston Hospitals Inc

  dba Emory Hospital Warner Robins

  • General Acute Care Hospital
  • Warner Robins, GA
  • NPI 1962435792
  NPD (past)
• Magnolia Surgery, PC

  • Surgery Physician
  • Kathleen, GA
  • NPI 1982959615
  NPD (past)
• NGMC Barrow LLC

  dba NGMC Barrow

  • General Acute Care Hospital
  • Winder, GA
  • NPI 1881144889
  NPD (past)
• Radiology Associates of Houston County

  • Diagnostic Radiology Physician
  • Fort Valley, GA
  • NPI 1578571956
  NPD (past)
• Rockdale Diagnostics, LLC

  dba Medical Imaging at Honey Creek

  • Body Imaging Physician
  • Conyers, GA
  • NPI 1053497826
  NPD (past)
• The Longstreet Clinic PC

  • Prosthetic/Orthotic Supplier
  • Gainesville, GA
  • NPI 1053422428
  NPD (past)

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

• NGMC Barrow LLC

  dba NGMC Barrow

  • General Acute Care Hospital
  • Winder, GA
  • NPI 1881144889
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Cherokee

  • General Acute Care Hospital
  • Canton, GA
  • NPI 1225050396
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital Forsyth

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1063494425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305032417",
            "telephone_number": "770-532-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ACADEMY STREET",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-282-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Jesse Jewell Pkwy SE",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013871",
            "country_code": "US",
            "telephone_number": "770-532-9936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHEN",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "39952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0031463",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICARE GRP PROV #",
            "identifier": "581177261A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000660822AU",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000660822AC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Stearns, LPC
• Janie Brandt Steckenrider, RN
• Mary Katherine Steele, OTR/L
• John R Steinkraus, AAC
• Stephen D Adams Pharmacies Inc (Lawrence Pharmacy)
• Stephanie Stephenson, DMD
• Courtney Snyder Stevens
• Lorie Miller Stevens, DMD MAGD
• Timothy John Stevens, M.D.
• Caleb Stewart, AAC

• Diagnostic Radiology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.