Individual provider Active NPI

Darren Thomas Scoggin, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Jackson, MS
National Provider Identifier
1558772558
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1867 Crane Ridge Drive
Suite 101B
Jackson, MS 39216
Phone
(603) 362-8776
Fax
(601) 354-8786
NPI assigned
May 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1867 Crane Ridge Drive
Suite 101B
Jackson, MS 39216

Mailing address

1867 Crane Ridge Drive
Suite 101B
Jackson, MS 39216
Phone (601) 362-8776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20150128001756 MS Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2668796301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Medical Group, P.a. Current Accepting new patients

Locations

1867 Crane Ridge Dr
Ste 101B
Jackson, MS 39216
Phone (601) 362-8776

Interoperability endpoints

  • Direct secure messaging: darren.scoggin.1@30219.direct.athenahealth.com
  • Direct secure messaging: darrenscoggin@cmgpa.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1558772558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DRIVE",
            "address_2": "SUITE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "601-362-8776",
            "fax_number": "601-354-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 CRANE RIDGE DRIVE",
            "address_2": "SUITE 101B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "603-362-8776",
            "fax_number": "601-354-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGIN",
        "first_name": "DARREN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-13",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.