Clifton Shane Scott, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26857 Issued in MS

Practice address

2520 5TH St N
Columbus, MS 39705-2008

Phone

(662) 244-1000

Fax

(662) 244-1651

NPI assigned

Jun 3, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MS, AL3 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 3

Specialty

Family Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Emergency Services of MississippiGroup PAC ID 9739188046, 12 clinicians

Smith Lake Family Care LLCGroup PAC ID 7911319777, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clifton.scott.1@30992.direct.athenahealth.com
• Direct secure messaging: cliftonscott@nmhs.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Emergency Services of Mississippi

  • Emergency Medicine Physician
  • Columbus, MS
  • NPI 1801983309
  Medicare reassignment Care Compare group NPD
• Smith Lake Family Care LLC

  • Family Nurse Practitioner
  • Jasper, AL
  • NPI 1306447776
  Medicare reassignment Care Compare group NPD
• Noxubee General Critical Access Hospital

  • Emergency Medicine Physician
  • Macon, MS
  • NPI 1477793305
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of West Point, LLC

  • Emergency Medicine Physician
  • West Point, MS
  • NPI 1275172736
  Medicare reassignment NPD
• RH Emergency Medicine of Och Regional LLC

  • Emergency Medicine Physician
  • Starkville, MS
  • NPI 1093532889
  Medicare reassignment NPD
• Carbon Hill Family Care LLC

  • Family Medicine Physician
  • Carbon Hill, AL
  • NPI 1255113551
  Medicare reassignment NPD
• Cordova Family Care LLC

  • Family Medicine Physician
  • Cordova, AL
  • NPI 1780567610
  Medicare reassignment NPD
• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Northport, LLC

  • Emergency Medicine Physician
  • Northport, AL
  • NPI 1699261149
  Medicare reassignment NPD
• Relias Emergency Medicine Specialists of Regional, LLC

  • Emergency Medicine Physician
  • Tuscaloosa, AL
  • NPI 1619463163
  Medicare reassignment NPD
• Southland EMS at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1124302443
  Medicare reassignment NPD
• Southland Hospitalist at Weems PL

  • Emergency Medicine Physician
  • Apalachicola, FL
  • NPI 1801170113
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407205156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PETER BRYCE BLVD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354017419",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-244-1000",
            "fax_number": "662-244-1651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Peter Bryce Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-5294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CLIFTON",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "26857",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "26857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yash Sarda, MD
• Saum Chiropractic Clinic PLLC
• Kathryn Scarbrough
• Ellen Scherrer, APRN, CNP
• Connie Harris Scurti, DO
• Paul J Scurti, DO
• Senior Sitters Care LLC
• Emily Morgan Sesser
• Kin Seto

• Family Medicine Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.