Individual provider Active NPI

Carl Alan Scott, MD

  • Internal Medicine Physician
  • Statesboro, GA
National Provider Identifier
1275578239
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
054052 Issued in GA
Practice address
4451 Country Club Rd Ste 3a
Statesboro, GA 30458-9238
Phone
(912) 764-2273
Fax
(912) 489-4762
NPI assigned
Jun 16, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 054052 GA Primary

Addresses

Primary practice location

4451 Country Club Rd Ste 3a
Statesboro, GA 30458-9238

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211

Other practice location 1

5 Executive Cir
Savannah, GA 31406-3345
Phone (912) 355-2400

Other identifiers 4

IdentifierTypeStateIssuer
218728918MedicaidGA
10058885OtherGAAMERIGROUP
218728918AMedicaidGA
G54052MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carl.scott.1@8824.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040303000306 GA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 6507753696 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

Practice addresses (Care Compare)

1497 Fair Rd
Statesboro, GA 30458-0823

4451 Country Club Rd
Suite 3a
Statesboro, GA 30458-9238
Phone (912) 871-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22298IAMDPharmacist
054052GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Hma Physician Management, LLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Georgia Emergency Associates CurrentSince Dec 10, 2003 Accepting new patients
East Georgia Urgent Care PastSince Jul 21, 2024 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients
New Century Physicians of Iowa PC Past Accepting new patients

Locations

5629 Highway 21 S
Rincon, GA 31326
Phone (912) 295-2133

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

1449 Brampton Ave
Statesboro, GA 30458
Phone (912) 486-1163

1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

4451 Country Club Rd
Ste 3A
Statesboro, GA 30458
Phone (912) 764-2273

658 Northside Dr E
Ste A
Statesboro, GA 30458
Phone (912) 764-9684

Interoperability endpoints

  • Direct secure messaging: carl.scott.1@8824.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1275578239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022",
            "telephone_number": "615-465-7211",
            "fax_number": "615-628-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 COUNTRY CLUB RD STE 3A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304589238",
            "telephone_number": "912-764-2273",
            "fax_number": "912-489-4762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Executive Cir",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063345",
            "country_code": "US",
            "telephone_number": "912-355-2400",
            "fax_number": "912-355-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CARL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "054052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218728918",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10058885",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218728918A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G54052",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carl.scott.1@8824.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "4451 Country Club Rd Ste 3A",
            "city": "Statesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "304589238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.