Organization Active NPI

Warrior Medical Associates, PC

  • Internal Medicine Physician
  • Warrior, AL
National Provider Identifier
1215022793
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WARRIOR MEDICAL ASSOCIATES, PC
Practice address
100 Dana Road
Warrior, AL 35180
Phone
(205) 647-6333
Fax
(205) 647-8666
NPI assigned
Oct 3, 2006
Last updated
Apr 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Ashley Carr Scoggins, NP
Title
Nurse Practitioner
Phone
(205) 647-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AL Primary

Addresses

Primary practice location

100 Dana Road
Warrior, AL 35180

Mailing address

100 Dana Road
Warrior, AL 35180
Phone (205) 647-6333

Other identifiers 1

IdentifierTypeStateIssuer
529910250MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address oliver.harper@Warmed.direct.medconnect-inc.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000118 AL Part B Supplier - Clinic/Group Practice 2769409291 Receives reassigned benefits from 3 practitioners
Practice locations: Warrior, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0892762Warrior Medical Associates PC100 Dana Road, Warrior, AL 35180Provider-performed microscopyJan 19, 2028

National Provider Directory

National Provider Directory

Locations

100 Dana Rd
Warrior, AL 35180
Phone (205) 647-6333

Interoperability endpoints

  • Direct secure messaging: oliver.harper@warmed.direct.medconnect-inc.com

Practitioners & affiliated clinicians

Practitioners 4

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1215022793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DANA ROAD",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "205-647-6333",
            "fax_number": "205-647-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DANA ROAD",
            "city": "WARRIOR",
            "state": "AL",
            "postal_code": "35180",
            "telephone_number": "205-647-6333",
            "fax_number": "205-647-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRIOR MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "CARR SCOGGINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "205-647-6333",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529910250",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oliver.harper@Warmed.direct.medconnect-inc.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 DANA ROAD",
            "city": "WARRIOR",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrior, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.