Scott Ashley Fouch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

3334 Issued in GA

Practice address

1176 Brampton Ave
Statesboro, GA 30458-0847

Phone

(912) 259-9474

Fax

(122) 255-7199

NPI assigned

Feb 4, 2006

Last updated

Dec 21, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Statesboro Medical Group, LLCGroup PAC ID 6507285095, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

Physician Assistant

State licenses

Practice roles

Locations

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.

• Statesboro Medical Group, LLC

  dba Statesboro urgent care

  • Urgent Care Clinic/Center
  • Statesboro, GA
  • NPI 1013535657
  Medicare reassignment Care Compare group
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)
• Health Services of Central Georgia, Inc

  dba Atrium Health Navicent Medical Group

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1184679482
  NPD (past)
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Macon Cardiovascular Institute

  • Surgery Physician
  • Macon, GA
  • NPI 1104866599
  NPD (past)

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1407828338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012825",
            "telephone_number": "478-743-9762",
            "fax_number": "478-746-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 BRAMPTON AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580847",
            "telephone_number": "912-259-9474",
            "fax_number": "122-255-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCH",
        "first_name": "SCOTT",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2020-12-21",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "3334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn R Fogle, DPT
• Isaac Dua Fordjour, MD
• Forest Heights Pharmacy Inc (Forest Heights Pharmacy)
• Forest Heights Phcy Inc (University Pharmacy)
• Latoya Dominique Forsythe, DPT
• Camille H Fox
• Alexandria Franklin
• Kelley Frazier
• Jessica Adrienne French, C.P.N.P.
• Fresh Start Counseling Services

• Medical Physician Assistant in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.