Dr William M Scott, Mdvip PA
Organization Active NPI Primary Care Clinic/Center · Piedmont, SC
NPI 1184858136 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1184858136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- 8878 (SC)
- Legal business name
- DR WILLIAM M SCOTT, MDVIP PA
- Practice address
- 206 Wall St
Piedmont, SC 29673-6754 - Phone
- (864) 295-1293
- Fax
- (864) 295-1294
- NPI assigned
- May 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Linda S Hoover
- Title
- Clinical Manager
- Phone
- (864) 295-1280
Practitioners 8
-
Charles A Kuykendall, LAC CAC II MAC
-
Timothy Allen Naumann, FNP-BC
-
Karen Paradis, PMHNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090820000032 | SC | Part B Supplier - Clinic/Group Practice | 2365596772 |
Receives reassigned benefits from 3 practitioners Practice locations: Piedmont, SC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 8878 | SC | Yes |
Addresses
Primary practice location
206 Wall St
Piedmont, SC 29673-6754
Mailing address
206 Wall St
Piedmont, SC 29673-6754
Phone (864) 295-1280
Other providers in Piedmont, SC
- Melissa Conley Dodaro
- Makencie Donald
- Kendall Dorie
- Dosher Physical Therapy Associates
- Christine Dowling
- E Z Access Pharmacy Inc
- Susan G Eades
- Michael Charles Ebner
- Anne-Claire Edwards
- Terri Lynn Ellenburg
All providers in Piedmont, SC · Primary Care Clinic/Center in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2020. 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.