NPIMap

Organization Active NPI

Dr William M Scott, Mdvip PA

  • Primary Care Clinic/Center
  • Piedmont, SC
National Provider Identifier
1184858136
Registry record updated Apr 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
8878 Issued in 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
Last updated
Apr 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2020

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

Authorized official

Name
Linda S Hoover
Title
Clinical Manager
Phone
(864) 295-1280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 8878 SC Primary

Addresses

Primary practice location

206 Wall St
Piedmont, SC 29673-6754

Mailing address

206 Wall St
Piedmont, SC 29673-6754
Phone (864) 295-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090820000032 SC Part B Supplier - Clinic/Group Practice 2365596772 Receives reassigned benefits from 3 practitioners
Practice locations: Piedmont, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1184858136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-295-1280",
            "fax_number": "864-269-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-295-1293",
            "fax_number": "864-295-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILLIAM M SCOTT, MDVIP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "864-295-1280"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "8878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.