Individual provider Active NPI

Richard Scott McGill, D.O.

  • Pediatrics Physician
  • Rogersville, TN
National Provider Identifier
1629076393
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DO0000001255 Issued in TN
Practice address
4307 Highway 66 S
Rogersville, TN 37857-3155
Phone
(423) 921-1600
Fax
(423) 921-1681
NPI assigned
Jul 7, 2005
Last updated
Jul 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0102204721 VA
Pediatrics Physician 208000000X DO0000001255 TN Primary

Addresses

Primary practice location

4307 Highway 66 S
Rogersville, TN 37857-3155

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 921-1600

Other practice location 1

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 2

325 N. State of Franklin Road
Ground Floor
Johnson City, TN 37604
Phone (423) 439-7320

Other practice location 3

5000 Monarch Pt
Greeneville, TN 37745-4275
Phone (423) 798-6630

Other practice location 4

600 Boones Creek Rd
Jonesborough, TN 37659-5167
Phone (423) 788-9374

Other identifiers 3

IdentifierTypeStateIssuer
Q000540MedicaidTN
1558411520MedicaidVA
3305336MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, 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
I20170207001956 TN Practitioner - Pediatric Medicine 6709933583 Reassigns benefits to 2 organizations
I20170315000185 VA Practitioner - Pediatric Medicine 6709933583 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO0000001255TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Mar 15, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Kids First Children's Urgent Care Pediatrics CurrentSince Jan 22, 2023 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 9, 2017 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jan 9, 2017 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients
Johnson City Emergency Physicians, PC Past Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

329 Wesley St
Johnson City, TN 37601
Phone (423) 631-0055

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

Organizations & group practices 9

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1629076393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 HIGHWAY 66 S",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378573155",
            "telephone_number": "423-921-1600",
            "fax_number": "423-921-1681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 N. State of Franklin Road",
            "address_2": "Ground Floor",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "37604",
            "country_code": "US",
            "telephone_number": "423-439-7320",
            "fax_number": "423-439-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 Monarch Pt",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454275",
            "country_code": "US",
            "telephone_number": "423-798-6630",
            "fax_number": "423-798-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Boones Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Jonesborough",
            "state": "TN",
            "postal_code": "376595167",
            "country_code": "US",
            "telephone_number": "423-788-9374",
            "fax_number": "423-788-9377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "RICHARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0102204721",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "DO0000001255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000540",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558411520",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305336",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, TN

Sources for this page

Verify at the official NPI Registry.