Active NPI
Scott M Otis, M.D.
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
National Provider Identifier
1548244064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2015-00441
- Practice address
- 225 Baldwin Ave
Charlotte, NC 28204-3109 - Phone
- (704) 376-1605
- Fax
- (704) 335-8448
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2015-00441 | NC | Primary |
Addresses
Primary practice location
225 Baldwin Ave
Charlotte, NC 28204-3109
Mailing address
225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scott.otis.p1@direct.cnsa.nextgenshare.com | Direct |
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
- Physical Medicine and Rehabilitation
- Education
- Ohio State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Neurosurgery & Spine Associates PA | Current | Accepting new patients | |
| Atrium Health Neurospine Network LLC | Current | Accepting new patients | |
| Atrium Health Neurospine Network LLC | Current | Accepting new patients | |
| Carolina Neurosurgery & Spine Associates PA | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Carolina Neurosurgery, PA | Past | Accepting new patients |
Locations
225 Baldwin Ave
Charlotte, NC 28204
Phone (704) 376-1605
110 Lake Concord Rd NE
Concord, NC 28025
Phone (704) 792-2672
10314 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 831-4100
Interoperability endpoints
- scott.otis.p1@direct.cnsa.nextgenshare.com
- sotis3006456@carolinashealthcaresystem.direct-ci.com
- https://epicproxy.et0905.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
- Neurological Surgery Physician
- Charlotte, NC
- NPI 1033007695
-
- Neurological Surgery Physician
- Charlotte, NC
- NPI 1154384568
-
- Neurological Surgery Physician
- Rock Hill, SC
- NPI 1831081454
-
- Neurological Surgery Physician
- Rock Hill, SC
- NPI 1548819170
-
- Specialist
- Greensboro, NC
- NPI 1699737726
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1548244064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BALDWIN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043109",
"telephone_number": "704-376-1605",
"fax_number": "704-335-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 BALDWIN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043109",
"telephone_number": "704-376-1605",
"fax_number": "704-335-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTIS",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NC",
"license": "2015-00441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scott.otis.p1@direct.cnsa.nextgenshare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "225 Baldwin Ave",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.