Individual provider Active NPI

Glen L. Scarbrough, M.D.

  • Obstetrics & Gynecology Physician
  • Savannah, GA
National Provider Identifier
1164469177
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
044329 Issued in GA
Practice address
5353 Reynolds St
Suite 300
Savannah, GA 31405-6015
Phone
(912) 355-6005
Fax
(912) 355-5643
NPI assigned
May 31, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 044329 GA Primary

Addresses

Primary practice location

5353 Reynolds St
Suite 300
Savannah, GA 31405-6015

Mailing address

5353 Reynolds St
Suite 300
Savannah, GA 31405-6015
Phone (912) 355-6005

Other identifiers 2

IdentifierTypeStateIssuer
00878215AMedicaidGA
GA1133MedicaidSC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101110000709 GA Practitioner - Obstetrics/Gynecology 8921011222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Mercer University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah OBGYN PCGroup PAC ID 9638161334, 9 clinicians

Practice addresses (Care Compare)

5356 Reynolds St
Suite 410
Savannah, GA 31405-6020
Phone (912) 355-8136

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah OBGYN PC CurrentSince Jan 8, 2019 Accepting new patients
Candler Hospital Incorporated Past Accepting new patients
OB - GYN Associates Obstetrics & Gynecology Past Accepting new patients

Locations

5356 Reynolds St
Ste 410
Savannah, GA 31405
Phone (912) 355-8136

5353 Reynolds St
Ste 300
Savannah, GA 31405
Phone (912) 355-6005

Interoperability endpoints

  • Direct secure messaging: glenscarbrough@scmgllc.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1164469177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "address_2": "SUITE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-355-6005",
            "fax_number": "912-355-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "address_2": "SUITE 300",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-355-6005",
            "fax_number": "912-355-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "GLEN",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "044329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00878215A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1133",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.