Individual provider Active NPI

Scotty Lane Gadlin, M.D.

  • Ophthalmology Physician
  • Athens, GA
National Provider Identifier
1477874683
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
72589 Issued in GA
Practice address
700 Sunset Dr Ste 503
Athens, GA 30606-2288
Phone
(706) 850-1771
Fax
(331) 204-0769
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4208 GA
Ophthalmology Physician 207W00000X 72589 GA Primary

Addresses

Primary practice location

700 Sunset Dr Ste 503
Athens, GA 30606-2288

Mailing address

700 Sunset Dr Ste 503
Athens, GA 30606-2288
Phone (706) 850-1771

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150206001568 GA Practitioner - Ophthalmology 1850530114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 Sunset Dr
Suite 503
Athens, GA 30606-2288
Phone (706) 850-1771

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4208GAMDInternal Medicine Physician
72589GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Area Surgical Associates, P.C. CurrentSince Nov 2, 2020 Accepting new patients
Athens Eye Consultants LLC Ophthalmology CurrentSince Oct 27, 2020 Accepting new patients

Locations

650 Oglethorpe Ave
Ste 5
Athens, GA 30606
Phone (404) 550-8733

700 Sunset Dr
Ste 503
Athens, GA 30606
Phone (706) 613-1040

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1477874683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 503",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062288",
            "telephone_number": "706-850-1771",
            "fax_number": "331-204-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SUNSET DR STE 503",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062288",
            "telephone_number": "706-850-1771",
            "fax_number": "331-204-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADLIN",
        "first_name": "SCOTTY",
        "middle_name": "LANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "4208",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "72589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.