Individual provider Active NPI

Scott J Spillmann, MD, MPH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Danville, VA
National Provider Identifier
1609847698
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
38697 Issued in NC
Practice address
326 Taylor Dr
Danville, VA 24541-4188
Phone
(347) 669-8574
NPI assigned
Jan 30, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 38697 NC
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 38697 NC Primary

Addresses

Primary practice location

326 Taylor Dr
Danville, VA 24541-4188

Mailing address

PO Box 1481
Yanceyville, NC 27379-1481
Phone (336) 337-3297

Other practice location 1

6200 Bryan Park Rd
Browns Summit, NC 27214-9755
Phone (336) 337-3297

Other practice location 2

1433 Foster Rd
Yanceyville, NC 27379-8923
Phone (363) 373-2973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131108000600 NC Practitioner - Physical Medicine and RehabilitationPractitioner - Preventive Medicine 6103051636 Reassigns benefits to 1 organization
I20141210001030 VA Practitioner - Physical Medicine and Rehabilitation 6103051636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Mississippi School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

326 Taylor Dr
Danville, VA 24541-4188
Phone 4347995190115

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Aug 19, 2013 Accepting new patients
Commonwealth of Virginia State Board of Health Current Accepting new patients
Commonwealth of VA State Board of Health Current Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Dec 31, 2016 Accepting new patients
Commonwealth of Virginia State Board of Health CurrentSince Dec 31, 2016 Accepting new patients

Locations

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

200 E 5th St
Chase City, VA 23924
Phone (434) 372-0900

326 Taylor Dr
Danville, VA 24541
Phone (434) 766-9828

109 Governor St
Fl 13
Richmond, VA 23219
Phone (804) 864-7009

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1609847698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273791481",
            "telephone_number": "336-337-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 TAYLOR DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414188",
            "telephone_number": "347-669-8574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Bryan Park Rd",
            "address_purpose": "LOCATION",
            "city": "Browns Summit",
            "state": "NC",
            "postal_code": "272149755",
            "country_code": "US",
            "telephone_number": "336-337-3297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1433 Foster Rd",
            "address_purpose": "LOCATION",
            "city": "Yanceyville",
            "state": "NC",
            "postal_code": "273798923",
            "country_code": "US",
            "telephone_number": "363-373-2973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPILLMANN",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "38697",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NC",
            "license": "38697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.