Active NPI
Alexander Scavo
- Internal Medicine Physician
- Columbia, TN
National Provider Identifier
1669168266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6894
- Practice address
- 1224 Trotwood Ave
Columbia, TN 38401-4802 - Phone
- (931) 380-4072
- Fax
- (931) 490-7043
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 6894 | TN | Primary |
Addresses
Primary practice location
1224 Trotwood Ave
Columbia, TN 38401-4802
Mailing address
1224 Trotwood Ave
Columbia, TN 38401-4802
Phone (931) 380-4072
Other practice location 1
2139 Auburn Ave Ste 2170
Cincinnati, OH 45219-2906
Phone (513) 585-4079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230607000842 | OH | Order and Referring Only - Hospitalist | 3678930682 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1669168266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-380-4072",
"fax_number": "931-490-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014802",
"telephone_number": "931-380-4072",
"fax_number": "931-490-7043"
}
],
"practiceLocations": [
{
"address_1": "2139 Auburn Ave Ste 2170",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192906",
"country_code": "US",
"telephone_number": "513-585-4079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCAVO",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "6894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.