Individual provider Active NPI

Carolyn Lea Scott, MD

  • Family Medicine Physician
  • Weatherford, TX
National Provider Identifier
1114263530
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J2317 Issued in TX
Practice address
750 Eureka St Ste B
Weatherford, TX 76086-6521
Phone
(855) 893-5637
Fax
(817) 666-3873
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 J2317 TX Primary

Addresses

Primary practice location

750 Eureka St Ste B
Weatherford, TX 76086-6521

Mailing address

2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946
Phone (972) 417-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20140220001067 TX Practitioner - Family Practice 8729218664 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2317TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jun 6, 2022 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jun 6, 2022 Accepting new patients

Locations

401 Stribling Dr
Azle, TX 76020
Phone (409) 539-0210

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

3708 E Rosedale St
Ste 100
Fort Worth, TX 76105
Phone (817) 446-5500

6850 Manhattan Blvd
Ste 250
Ft Worth, TX 76120
Phone (817) 446-5500

1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818

855 Montgomery St
Ft Worth, TX 76107
Phone (817) 735-2334

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

Organizations & group practices 3

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": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1114263530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "972-417-8937",
            "fax_number": "972-439-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EUREKA ST STE B",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866521",
            "telephone_number": "855-893-5637",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CAROLYN",
        "middle_name": "LEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J2317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.