Active NPI
Adam Wesley Scott, MD
- Pediatrics Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.33975
- Practice address
- 4154 Carmichael Rd
Montgomery, AL 36106-2866 - Phone
- (334) 271-5959
- Fax
- (334) 272-8775
- NPI assigned
- May 17, 2013
- Last updated
- Apr 7, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.33975 | AL | Primary |
| Pediatric Nephrology Physician | 2080P0210X | 267412 | MA |
Addresses
Primary practice location
4154 Carmichael Rd
Montgomery, AL 36106-2866
Mailing address
1722 Pine St Ste 203
Montgomery, AL 36106-1158
Phone (334) 293-8736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130710000898 | AL | Order and Referring Only - Pediatric Medicine | 1759521982 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.33975 | AL | MD | Pediatrics Physician |
| 267412 | MA | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic, Inc. | Pediatrics | Current | Accepting new patients |
| Partners in Pediatrics LLC | Past | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients | |
| Partners in Pediatrics, LLC | Past | Accepting new patients |
Locations
1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263
4154 Carmichael Rd
Montgomery, AL 36106
Phone (334) 271-5959
Organizations & group practices 4
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.
-
dba Jackson Clinic Pediatrics
- Pediatrics Physician
- Montgomery, AL
- NPI 1952949968
-
dba Jackson Pelvic Floor Therapy
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Primary Care Clinic/Center
- Prattville, AL
- NPI 1063679496
-
- Primary Care Clinic/Center
- Montgomery, AL
- NPI 1528233103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1528404597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 PINE ST STE 203",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061158",
"telephone_number": "334-293-8736",
"fax_number": "334-293-8738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4154 CARMICHAEL RD",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361062866",
"telephone_number": "334-271-5959",
"fax_number": "334-272-8775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ADAM",
"middle_name": "WESLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-17",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AL",
"license": "MD.33975",
"primary": true
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "MA",
"license": "267412",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.