Individual provider Active NPI

George Stackhouse Scoville Jr., M.D.

  • Cardiovascular Disease Physician
  • Nashville, TN
National Provider Identifier
1366497273
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11789 Issued in TN
Practice address
4230 Harding Rd
Suite 330
Nashville, TN 37205
Phone
(615) 269-4545
Fax
(615) 565-6789
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11789 TN Primary

Addresses

Primary practice location

4230 Harding Rd
Suite 330
Nashville, TN 37205

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-5180
Phone (615) 284-7260

Other identifiers 3

IdentifierTypeStateIssuer
P00446966OtherTNRR MEDICARE
3839628MedicaidTN
6011895OtherTNBLUE CROSS-BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20050803000757 TN Practitioner - Cardiovascular Disease (Cardiology) 8729016357 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince May 13, 2014 Accepting new patients
Riverview Medical Center LLC CurrentSince Sep 1, 2010 Accepting new patients
Riverview Physician Practices, LLC CurrentSince Dec 1, 2015 Accepting new patients
Riverview Medical Center LLC Cardiovascular Disease CurrentSince Sep 1, 2010 Accepting new patients
Saint Thomas Outpatient Cardiac Catheterization Center, LLC Cardiovascular Disease Past Accepting new patients
Williamson Hospitalist Program Past Accepting new patients
Heart Group PLLC Cardiovascular Disease Past Accepting new patients

Locations

133 Hospital Dr
Ste 700
Carthage, TN 37030
Phone (615) 588-1015

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

130 Lebanon Hwy
Carthage, TN 37030
Phone (615) 444-0554

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

14 Main St E
Ste B
Gordonsville, TN 38563
Phone (615) 588-1015

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

300 20th Ave N
Ste 702
Nashville, TN 37203
Phone (615) 284-7833

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1366497273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035180",
            "telephone_number": "615-284-7260",
            "fax_number": "615-284-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING RD",
            "address_2": "SUITE 330",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-269-4545",
            "fax_number": "615-565-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "GEORGE",
        "middle_name": "STACKHOUSE",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "11789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00446966",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3839628",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "6011895",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.