Individual provider Active NPI

Randolph D Scott, MD

  • Obstetrics & Gynecology Physician
  • Garner, NC
National Provider Identifier
1235455361
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
FS1854125 Issued in NC
Practice address
934 Vandora Springs Rd
Garner, NC 27529
Phone
(919) 977-7095
Fax
(919) 977-9289
NPI assigned
Apr 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 FS1854125 NC Primary

Addresses

Primary practice location

934 Vandora Springs Rd
Garner, NC 27529

Mailing address

934 Vandora Springs Rd
Garner, NC 27529-3544
Phone (919) 977-7095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110812000186 NC Practitioner - Obstetrics/Gynecology 2365575206 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 US 70 Hwy W
Suite 100
Garner, NC 27529-2543
Phone (919) 977-7095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC Obstetrics & Gynecology CurrentSince Apr 29, 2014 Accepting new patients
Carolina Elite Women'S Care Obstetrics & Gynecology CurrentSince Mar 12, 2018 Accepting new patients
NC Mobile Anesthesia PastSince Mar 12, 2018 Accepting new patients

Locations

934 Vandora Springs Rd
Garner, NC 27529
Phone (919) 270-0104

901 US 70 Hwy W
Ste 100
Garner, NC 27529
Phone (919) 977-7095

4414 Lake Boone Trl
Ste 205
Raleigh, NC 27607
Phone (919) 788-4444

2501 Atrium Dr
Ste 310
Raleigh, NC 27607
Phone (919) 783-7554

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17199/brand/1/csg/1/fhir/r4
  • Direct secure messaging: randolph.scott.1@17199.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1235455361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293544",
            "telephone_number": "919-977-7095",
            "fax_number": "919-977-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-977-7095",
            "fax_number": "919-977-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RANDOLPH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-14",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "FS1854125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.