Active NPI
Kristine Vissage Scruggs, M.D.
- Internal Medicine Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2009-02075
- Practice address
- 1900 Kildaire Farm Rd
Cary, NC 27518-6616 - Phone
- (919) 350-1965
- Fax
- (919) 350-1980
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 141146 | NC | |
| Internal Medicine Physician | 207R00000X | 2009-02075 | NC | Primary |
Addresses
Primary practice location
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Mailing address
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-1965
Other practice location 1
1830 Fordham Blvd Ste 100
Chapel Hill, NC 27514-2301
Phone (984) 215-6349
Other names 1
- Claudia Kristine Vissage
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kscruggs744972@direct.UNC.nchie.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Medical University of South Carolina College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
117 E Kings Hwy
Eden, NC 27288-5201
Phone (984) 215-4000
1830 Fordham Blvd
Suite 100
Chapel Hill, NC 27514-2301
Phone (919) 364-3312
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123
Hospital & facility affiliations
- Unc Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141146 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Internal Medicine | Current | Accepting new patients |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| North Carolina MG, LLC | Hospitalist | Current | Accepting new patients |
| Unc Physicians Network LLC | Internal Medicine | Current | Accepting new patients |
| Cumberland County Hospital System Inc | Hospitalist | Current | Accepting new patients |
| Wakemed Faculty Practice Plan | Internal Medicine | Past | Accepting new patients |
| Wakemed Faculty Practice Plan | Hospitalist | Past | Accepting new patients |
Locations
1830 Fordham Blvd
Ste 100
Chapel Hill, NC 27514
Phone (919) 364-3312
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
803 Tilghman Dr
Ste 200
Dunn, NC 28334
Phone (910) 892-1091
2153 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 672-0350
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
4420 Lake Boone Trl
Ste 100
Raleigh, NC 27607
Phone (984) 215-6950
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- kscruggs89496@capefearvalley.direct-ci.com
- kscruggs744972@direct.unc.nchie.net
Organizations & group practices 10
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.
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Internal Medicine
-
- Interventional Cardiology Physician
- Chapel Hill, NC
- NPI 1568070308
-
- Hospitalist Physician
- Dunn, NC
- NPI 1124426804
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
Internal Medicine
-
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1013203819
Hospitalist
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1275736977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275186616",
"telephone_number": "919-350-1965",
"fax_number": "919-350-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 KILDAIRE FARM RD",
"city": "CARY",
"state": "NC",
"postal_code": "275186616",
"telephone_number": "919-350-1965",
"fax_number": "919-350-1980"
}
],
"practiceLocations": [
{
"address_1": "1830 Fordham Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275142301",
"country_code": "US",
"telephone_number": "984-215-6349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCRUGGS",
"first_name": "KRISTINE",
"middle_name": "VISSAGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "141146",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-02075",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kscruggs744972@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1830 Fordham Blvd Ste 100",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275142301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CLAUDIA",
"last_name": "VISSAGE",
"middle_name": "KRISTINE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.