Individual provider Active NPI

Mace F. Scott, M.D.

  • Emergency Medicine Physician
  • Bogalusa, LA
National Provider Identifier
1326028093
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
025636 Issued in LA
Practice address
433 Plaza St
Bogalusa, LA 70427-3729
Phone
(985) 730-6700
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 025636 LA Primary

Addresses

Primary practice location

433 Plaza St
Bogalusa, LA 70427-3729

Mailing address

PO Box 65074
Charlotte, NC 28265-0074
Phone (800) 377-8721

Other identifiers 2

IdentifierTypeStateIssuer
1114090MedicaidLA
G6438OtherLABLUECROSS BLUESHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040129000407 LA Practitioner - Emergency MedicinePractitioner - Internal Medicine 5991608770 Reassigns benefits to 1 organization
I20191023000473 MS Practitioner - Emergency Medicine 5991608770 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025636LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Emergency Medicine CurrentSince May 11, 2019 Accepting new patients
Memorial Hospital at Gulfport Emergency Medicine CurrentSince Sep 1, 2019 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Nes Louisiana, Inc. Emergency Medicine Past Accepting new patients
Louisiana Em-1 Medical Services, PA Past Accepting new patients
Louisiana Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Tchefuncta Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Nes Louisiana, Inc. Emergency Medicine Past Accepting new patients
Louisiana Em-1 Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
Bayou Parishes Emergency Physicians Emergency Medicine Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients
Nes Louisiana Inc Emergency Medicine Past Accepting new patients
Foucher Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

4500 13th St
#P
Gulfport, MS 39501
Phone (228) 865-3451

Interoperability endpoints

  • Direct secure messaging: mscott@direct.mhg.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1326028093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65074",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650074",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MACE",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "025636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114090",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "G6438",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.