Scott J Spillmann, MD, MPH
Individual provider Active NPI Preventive Medicine/Occupational Environmental Medicine Physician · Danville, VA
NPI 1609847698 · NPPES record last updated Oct 6, 2020
Key facts
- NPI
- 1609847698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X
- License
- 38697 (NC)
- Practice address
- 326 Taylor Dr
Danville, VA 24541-4188 - Phone
- (347) 669-8574
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- 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
- Commonwealth of Virginia State Board of Health
Practice addresses (Care Compare)
326 Taylor Dr
Danville, VA 24541-4188
Phone 4347995190115
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131108000600 | NC | Practitioner - Physical Medicine and Rehabilitation |
6103051636 | Reassigns benefits to 1 organization |
| I20141210001030 | VA | Practitioner - Physical Medicine and Rehabilitation | 6103051636 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38697 | NC | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth of Virginia State Board of Health | Current | Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current |
Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Current |
Accepting new patients | |
| Wake Forest University Health Sciences | Current |
Accepting new patients | |
| Commonwealth of VA State Board of Health | Current | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 38697 | NC | |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 38697 | NC | Yes |
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
1433 Foster Rd
Yanceyville, NC 27379-8923
Phone (363) 373-2973
Other practice location 2
6200 Bryan Park Rd
Browns Summit, NC 27214-9755
Phone (336) 337-3297
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78929 | Other | BCBS | |
| 2007324000 | Medicaid | WV | |
| 7607781 | Other | AETNA | |
| 8978929 | Medicaid | NC | |
| 33243 | Other | PARTNERS | |
| 97556 | Other | MEDCOST |
Other providers in Danville, VA
- Spectrum Medical Inc
- Spectrum Medical Inc
- Speech & Occupational Therapy Specialists
- Whitnie Spencer-Chaney
- Rashaun Spencer
- Ondria R Spivey
- Desmond Aneer Springs
- Bryan Randall Spurrier
- Rebecca Squier
- Ronald Stackhouse
All providers in Danville, VA · Preventive Medicine/Occupational Environmental Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.