Individual provider Active NPI

Charlene Spann Scott, MD

  • Internal Medicine Physician
  • Burlington, NC
National Provider Identifier
1144399080
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9700393 Issued in NC
Practice address
1409 University Dr
Suite 105
Burlington, NC 27215-8776
Phone
(336) 584-5659
Fax
(336) 584-4072
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9700393 NC Primary

Addresses

Primary practice location

1409 University Dr
Suite 105
Burlington, NC 27215-8776

Mailing address

PO Box 405633
Atlanta, GA 30384-4633
Phone (336) 584-5659

Other identifiers 1

IdentifierTypeStateIssuer
891018HMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cscott161263@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101103000066 NC Practitioner - Internal Medicine 2769676865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

1409 University Dr
Suite 105
Burlington, NC 27215-8787
Phone (336) 584-5659

520 N Elam Ave
Greensboro, NC 27403-1127
Phone (336) 547-1700

940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Durham, NC, CCN 347110
  • Adoration Home Health Home health agency, Mebane, NC, CCN 347122
  • Authoracare Collective Hospice, Greensboro, NC, CCN 341503
  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Medical Services, Inc. Internal Medicine CurrentSince Sep 16, 2013 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Sep 16, 2013 Accepting new patients
Kernodle Clinic, Inc Current Accepting new patients

Locations

1409 University Dr
Ste 105
Burlington, NC 27215
Phone (336) 584-5659

1234 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-1234

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: cscott161263@direct.conehealth.com

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.

Hospital & facility affiliations 4

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1144399080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405633",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844633",
            "telephone_number": "336-584-5659",
            "fax_number": "336-584-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 UNIVERSITY DR",
            "address_2": "SUITE 105",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158776",
            "telephone_number": "336-584-5659",
            "fax_number": "336-584-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHARLENE",
        "middle_name": "SPANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9700393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891018H",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cscott161263@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1409 University Dr",
            "address_2": "Suite 105",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272158776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.