Scott County Community Hospital, Inc.
Organization Active NPI Emergency Medicine Physician · Oneida, TN
NPI 1124536990 · NPPES record last updated Aug 5, 2025
Key facts
- NPI
- 1124536990
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- SCOTT COUNTY COMMUNITY HOSPITAL, INC.
- Practice address
- 18797 Alberta St
Oneida, TN 37841-2127 - Phone
- (423) 569-8521
- Fax
- (423) 286-5306
- NPI assigned
- Jan 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Kristin Wilber
- Title
- Executive Assistant
- Phone
- (423) 286-5307
Other NPIs with the same Medicare PAC ID 1
Practitioners 58
-
Sarah Beaty, NP
-
Wendy Holland Foust, FNP-C
-
Crystalle Griffith, ACAGNP-BC
-
Harry Horne, DO
-
Robert Blake Lowe, D.O
-
Fani B Manney, M.D.
-
Patricia B Meisner, D.O., FACEP
-
Dale Wayne Norris, M.D.
-
Brandi Nicole Phillips, APRN
-
Cody Alan Pike, NP-C
-
Amanda Lloyd, FNP-BC
-
Jonathan Shreve Kamar, PA-C
-
Johnny Wayne Presley, PAC
-
Otis Campbell Jr., M.D.
-
William Harelson, PA
-
Karen L Harsh, DO
-
Kimberly Rae Horner, AG-ACNP BC
-
Alan Itkin, M.D.
-
Kayla Rose Judd, APRN
-
Eric Lee Satterfield, D.O.
-
Meenu Singh, MD
-
Steven Joshua Thompson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (16 enrollments) in TN, CO, WI, OR, CA, WA, MA, GA, NV, ID, MS, TX, OH, VA, HI, FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180327002959 | TN | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 32 practitioners Practice locations: Jellico, TN; Oneida, TN |
| O20240823000083 | CO | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 5 practitioners Practice locations: Colorado Springs, CO; Parker, CO; Grand Junction, CO; Denver, CO |
| O20240823002758 | WI | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Beloit, WI |
| O20240826000609 | OR | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: La Grande, OR |
| O20240827002217 | CA | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 3 practitioners Practice locations: San Diego, CA |
| O20240912003392 | WA | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 2 practitioners Practice locations: Bellevue, WA; Liberty Lake, WA |
| O20240919000865 | MA | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Lexington, MA |
| O20240926001475 | GA | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Augusta, GA; Clayton, GA |
| O20241008003126 | NV | Part B Supplier - Hospital Department(S) | 3375829112 | Practice locations: Reno, NV |
| O20241009002739 | ID | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 2 practitioners Practice locations: Coeur D Alene, ID |
| O20241014000018 | MS | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Ridgeland, MS |
| O20241017000069 | TX | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Houston, TX |
| O20241104000565 | OH | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: New Albany, OH; Westlake, OH |
| O20241112004543 | VA | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 2 practitioners Practice locations: Falls Church, VA; Middleburg, VA |
| O20241115000949 | HI | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Kailua, HI; Honolulu, HI |
| O20260116003358 | FL | Part B Supplier - Hospital Department(S) | 3375829112 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlantic Beach, FL |
National Provider Directory
Locations
18797 Alberta St
Oneida, TN 37841
Phone (423) 286-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Hospitalist Physician |
208M00000X | |||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
18797 Alberta St
Oneida, TN 37841-2127
Mailing address
18797 Alberta St
Oneida, TN 37841-2127
Phone (423) 569-8521
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q027165 | Medicaid | TN |
Other names
- Big South Fork Medical Center
Other providers in Oneida, TN
- Aaron Roberts
- Sheena Rogers
- Rugby Emergency Physicians LLC
- John Franklin Scates Jr.
- Scott County Ambulance Service
- Scott County Community Hospital, Inc.
- Scott County Community Hospital, Inc.
- Scott County Hma LLC
- Scott County Hma LLC
- Scott County Medical Clinic Inc
All providers in Oneida, TN · Emergency Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.