Scott Abernathy
Individual provider Active NPI Anesthesiology Physician · Worcester, MA
NPI 1639630817 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1639630817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 2023-00820 (NC)
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-1131
- NPI assigned
- Mar 28, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Anesthesiology Consultants PLLC
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-4000
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- J Arthur Dosher Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20230804002327 | NC | Practitioner - Anesthesiology | 2961738281 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current |
Accepting new patients |
| Southeast Anesthesiology Consultants, PLLC | Anesthesiology | Current |
Accepting new patients |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current |
Accepting new patients |
Locations
800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
1333 S Dickinson Dr
Unit 120
Leland, NC 28451
Phone (910) 763-2361
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
2520 Independence Blvd
Ste 200
Wilmington, NC 28412
Phone (910) 442-1100
5301 Wrightsville Ave
Wilmington, NC 28403
Phone (910) 452-8100
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
1305 Glen Meade Rd
Wilmington, NC 28401
Phone (910) 815-6100
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2023-00820 | NC | Yes |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
55 Lake Ave N
Worcester, MA 01655-0002
Other providers in Worcester, MA
- Faiza Mohammed Abdulla
- Ibrahim Abdulmassih
- Luqman Abdur-Rauf
- Kayla Marie Abeling
- Richard Bernard Abelli
- Margarita Abi Zeid Daou
- Ability Health Care Services LLC
- Ability Links, LLC
- Abiworcester, LLC
- Abj LLC
All providers in Worcester, MA · Anesthesiology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. 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.