Individual provider Active NPI

Glen R Scott Jr., D.O.

  • Neurology Physician
  • West Columbia, SC
National Provider Identifier
1184656233
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
590 Issued in SC
Practice address
146 E Hospital Dr Ste 120a
West Columbia, SC 29169-4800
Phone
(803) 936-7076
Fax
(803) 936-7925
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0590 SC
Neurology Physician 2084N0400X 590 SC Primary

Addresses

Primary practice location

146 E Hospital Dr Ste 120a
West Columbia, SC 29169-4800

Mailing address

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2000

Other practice location 1

420 Thomson Cir
Suite 2800
Abbeville, SC 29620-5656
Phone (864) 366-7843

Other identifiers 1

IdentifierTypeStateIssuer
0590MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gscott148703@direct.lexmed.com
Direct Messaging Address gscott148703@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20101026000206 SC Practitioner - Neurology 0042279044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Thomson Cir
Abbeville, SC 29620-5656
Phone (864) 366-1649

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0590SCMDNeurology Physician
590SCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Dec 15, 2021 Accepting new patients
Abbeville County Memorial Hospital Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington Health Inc Neurological Surgery CurrentSince Dec 15, 2021 Accepting new patients
Abbeville County Memorial Hospital CurrentSince Oct 30, 2010 Accepting new patients

Locations

420 Thomson Cir
Abbeville, SC 29620
Phone (864) 366-1649

420 Thomson Cir
Ste 2800
Abbeville, SC 29620
Phone (864) 366-7843

901 W Greenwood St
Ste 6
Abbeville, SC 29620
Phone (864) 366-9010

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

146 E Hospital Dr
Ste 120A
West Columbia, SC 29169
Phone (803) 936-7076

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

146 E Hospital Dr
Ste 140
West Columbia, SC 29169
Phone (803) 936-7076

Interoperability endpoints

  • Direct secure messaging: gscott87750@selfregional.direct-ci.net

Organizations & group practices 5

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 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1184656233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2000",
            "fax_number": "864-366-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E HOSPITAL DR STE 120A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694800",
            "telephone_number": "803-936-7076",
            "fax_number": "803-936-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Thomson Cir",
            "address_2": "Suite 2800",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "SC",
            "postal_code": "296205656",
            "country_code": "US",
            "telephone_number": "864-366-7843",
            "fax_number": "864-366-3317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GLEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "SC",
            "license": "0590",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gscott148703@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 120A",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gscott148703@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 120A",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.