Individual provider Active NPI

Scott Sweeney, DO

  • Family Medicine Physician
  • Berlin, MD
National Provider Identifier
1659372811
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H43617 Issued in MD
Practice address
9950 Main Street
Berlin, MD 21811
Phone
(410) 912-6008
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200000992 NC
Family Medicine Physician 207Q00000X H43617 MD Primary

Addresses

Primary practice location

9950 Main Street
Berlin, MD 21811

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

5955 Weddington Rd
Wesley Chapel, NC 28104-6296
Phone (980) 993-8550

Other practice location 2

6030 W Highway 74
Ste A
Indian Trail, NC 28079-3468
Phone (704) 246-2777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 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
I20050920000060 NC Practitioner - Family Practice 4385678457 Reassigns benefits to 2 organizations
I20211115001160 MD Practitioner - Family Practice 4385678457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Primary Care LLCGroup PAC ID 7911320635, 63 clinicians

Practice addresses (Care Compare)

9950 N Main St
Berlin, MD 21811-1076
Phone (410) 912-6710

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Tidalhealth Home Care Home health agency, Salisbury, MD, CCN 217079
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H43617MDMDFamily Medicine Physician
200000992NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2012 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Oct 1, 2012 Accepting new patients
Arboretum Urgent Care Center Family Medicine CurrentSince Dec 25, 2011 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Tidalhealth Peninsula Regional, Inc. PastSince Oct 17, 2021 Accepting new patients
Tidalhealth Primary Care, LLC Family Medicine PastSince Oct 17, 2021 Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Union Family Practice Family Medicine Past Accepting new patients
Union Urgent Care LLC Family Medicine Past Accepting new patients
Union Physicians Network Inc Family Medicine Past Accepting new patients

Locations

9950 N Main St
Berlin, MD 21811
Phone (410) 912-6710

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

6030 W Highway 74
Indian Trail, NC 28079
Phone (704) 246-2777

6030 W Highway 74
Ste A
Indian Trail, NC 28079
Phone (704) 246-2777

332 N Trade St
#1100
Matthews, NC 28105
Phone (704) 512-6850

5955 Weddington Rd
Wesley Chapel, NC 28104
Phone (704) 667-4280

Interoperability endpoints

  • Direct secure messaging: ambulatory@direct.carolinashealthcare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1659372811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 MAIN STREET",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-912-6008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Weddington Rd",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "NC",
            "postal_code": "281046296",
            "country_code": "US",
            "telephone_number": "980-993-8550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6030 W Highway 74",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Indian Trail",
            "state": "NC",
            "postal_code": "280793468",
            "country_code": "US",
            "telephone_number": "704-246-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000992",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H43617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "5955 Weddington Rd",
            "city": "Wesley Chapel",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281046296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

Verify at the official NPI Registry.