Individual provider Active NPI

Scott D McLain, MD

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1285664839
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD39507 Issued in TN
Practice address
1526 Bridgewater LN
Kingsport, TN 37660-4106
Phone
(423) 246-0033
Fax
(423) 245-0034
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD39507 TN Primary

Addresses

Primary practice location

1526 Bridgewater LN
Kingsport, TN 37660-4106

Mailing address

1526 Bridgewater LN
Kingsport, TN 37660-4106
Phone (423) 246-0033

Other practice location 1

Hwy 77/75
Winnebago, NE 68071
Phone (402) 878-2231 ext. 2016

Other identifiers 1

IdentifierTypeStateIssuer
CA7108OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD39507TNMDFamily Medicine Physician
39507TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsport Primary Healthcare, LLC Family Medicine Current Accepting new patients
Kingsport Primary Care, PC CurrentSince Jun 12, 2017 Accepting new patients
Winnebago Indian Health Service PastSince Mar 21, 2016 Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients
Southeastern Medical Group, PC Past Accepting new patients

Locations

1526 Bridgewater Ln
Kingsport, TN 37660
Phone (423) 246-0033

1526 Bridgewater Ln
Ste A
Kingsport, TN 37660

1526 Bridgewater Ln
Ste B
Kingsport, TN 37660

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285664839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-246-0033",
            "fax_number": "423-245-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 BRIDGEWATER LN",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376604106",
            "telephone_number": "423-246-0033",
            "fax_number": "423-245-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HWY 77/75",
            "address_purpose": "LOCATION",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "68071",
            "country_code": "US",
            "telephone_number": "402-878-2231 x2016",
            "fax_number": "402-878-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD39507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7108",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.