Scottsboro Pediatrics PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

24797 Issued in AL

Legal business name

SCOTTSBORO PEDIATRICS PC

Practice address

1508 S Broad St
Suite 300
Scottsboro, AL 35768-2667

Phone

(256) 259-3600

NPI assigned

Jan 25, 2014

Organization subpart

No

Name

Dr. Muhammad Amjad, M.D.NPI 1073601340

Title

Owner/Physician

Phone

(256) 259-3600

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Muhammad Amjad, MD

  • Pediatrics Physician
  • Scottsboro, AL
  • NPI 1073601340

  AL

  Medicare reassignment NPD Authorized official
• Lonnie N Albin, MD

  • Family Medicine Physician
  • Scottsboro, AL
  • NPI 1629039045

  AL

  Medicare reassignment NPD
• Stephanie Grider Phillips, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1790092906

  AL

  Medicare reassignment NPD
• Laura C Walls, FNP-C

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1104342294
  NPD
• Melissa Fay Nevitt, CRNP

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1326524091
  NPD (past)
• Sommer Porch

  • Family Nurse Practitioner
  • Scottsboro, AL
  • NPI 1306201611
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2014.

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390608000000",
    "number": "1376966416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST",
            "address_2": "SUITE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682667",
            "telephone_number": "256-259-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 S BROAD ST",
            "address_2": "SUITE 300",
            "city": "SCOTTSBORO",
            "state": "AL",
            "postal_code": "357682667",
            "telephone_number": "256-259-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSBORO PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2014-01-25",
        "status": "A",
        "authorized_official_last_name": "AMJAD",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-259-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AL",
            "license": "24797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scottsboro Family Pharmacy, LLC
• Scottsboro Family Physicians PC
• Scottsboro Internal Medicine, PC
• Scottsboro Medical Clinic LLC
• Scottsboro OB GYN Specialists LLC
• Scottsboro Professional Counseling LLC
• Scottsboro Quick Care Clinics,Inc
• Scottsboro Urgent Care
• Scottsboro Vision Center LLC
• Jennifer Simmons, CRNP

• All providers in Scottsboro, AL
• Primary Care Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.