Individual provider Active NPI

Kristine Vissage Scruggs, M.D.

  • Internal Medicine Physician
  • Cary, NC
National Provider Identifier
1275736977
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2009-02075 Issued in NC
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

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000750 NC Practitioner - HospitalistPractitioner - Internal Medicine 7719011311 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
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
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

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 Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141146NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince May 7, 2021 Accepting new patients
University of North Carolina at Chapel Hill Internal Medicine CurrentSince Dec 31, 2025 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 CurrentSince Jun 1, 2025 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Aug 19, 2024 Accepting new patients
Cumberland County Hospital System Inc Hospitalist CurrentSince May 7, 2021 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

  • Direct secure messaging: kscruggs89496@capefearvalley.direct-ci.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.