Individual provider Active NPI

Jeremy Brent Scott, D.C.

  • Chiropractor
  • Muscle Shoals, AL
National Provider Identifier
1669493300
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2163 Issued in AL
Practice address
725 State St
Muscle Shoals, AL 35661-2939
Phone
(256) 383-6238
Fax
(256) 383-6234
NPI assigned
Jul 21, 2006
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2163 AL Primary

Addresses

Primary practice location

725 State St
Muscle Shoals, AL 35661-2939

Mailing address

725 State St
Muscle Shoals, AL 35661-2939
Phone (256) 383-6238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000250 AL Practitioner - Chiropractic 7315044625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

725 State St
Muscle Shoals, AL 35661-2939
Phone (256) 383-6238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2163ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Family Chiropractic Inc. Chiropractor CurrentSince Mar 29, 2007 Accepting new patients

Locations

725 State St
Muscle Shoals, AL 35661
Phone (256) 314-1125

115 E 5th St
Tuscumbia, AL 35674
Phone (256) 314-0025

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1669493300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612939",
            "telephone_number": "256-383-6238",
            "fax_number": "256-383-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 STATE ST",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612939",
            "telephone_number": "256-383-6238",
            "fax_number": "256-383-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JEREMY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.