Active NPI
Jeffrey Wellington Scales, M.D.
- Dermatology Physician
- Durham, NC
National Provider Identifier
1497818397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9400629
- Practice address
- 6216 Fayetteville Rd
Suite 102
Durham, NC 27713-6287 - Phone
- (919) 484-9551
- Fax
- (919) 484-0667
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9400629 | NC | Primary |
Addresses
Primary practice location
6216 Fayetteville Rd
Suite 102
Durham, NC 27713-6287
Mailing address
6216 Fayetteville Rd
Suite 102
Durham, NC 27713-6287
Phone (919) 484-9551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10352 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8910352 | Medicaid | NC | |
| P00101995 | Other | NC | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Perelman School of Med at the University of Pennsylvania, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6216 Fayetteville Rd
Durham, NC 27713-6287
Phone (919) 484-9551
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 97 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Center for Dermatology PA | Dermatology | Current | Accepting new patients |
Locations
6216 Fayetteville Rd
Ste 102
Durham, NC 27713
Phone (919) 484-9551
Interoperability endpoints
- jeffrey.scales.1@29572.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Dermatology Physician
- Durham, NC
- NPI 1326101262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497818397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6216 FAYETTEVILLE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136287",
"telephone_number": "919-484-9551",
"fax_number": "919-484-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6216 FAYETTEVILLE RD",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136287",
"telephone_number": "919-484-9551",
"fax_number": "919-484-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCALES",
"first_name": "JEFFREY",
"middle_name": "WELLINGTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "9400629",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10352",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8910352",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00101995",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.