Individual provider Active NPI

John Lucas Scott, CRNA

  • Certified Registered Nurse Anesthetist
  • Sylacauga, AL
National Provider Identifier
1669723748
Registry record updated Oct 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-114177 Issued in AL
Practice address
315 W Hickory St
Sylacauga, AL 35150-2913
Phone
(256) 401-4605
NPI assigned
Sep 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-114177 AL Primary
Certified Registered Nurse Anesthetist 367500000X 16952 TN

Addresses

Primary practice location

315 W Hickory St
Sylacauga, AL 35150-2913

Mailing address

2151 Old Rocky Ridge Rd
Suite 106
Birmingham, AL 35216-7235
Phone (205) 989-1080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131121001356 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355593773 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiologists Associated PCGroup PAC ID 6204739519, 418 clinicians

Practice addresses (Care Compare)

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 848-2925

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-114177ALMDCertified Registered Nurse Anesthetist
16952TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Lake Health Alabama, LLC CurrentSince Aug 26, 2023 Accepting new patients
Sylacauga Health Care Authority CurrentSince Aug 1, 2018 Accepting new patients
The Sylacauga Health Care Authority CurrentSince Aug 1, 2018 Accepting new patients
Anesthesiologists Associated PC CurrentSince Aug 5, 2018 Accepting new patients
The Sylacauga Health Care Authority Current Accepting new patients
Sylacauga Anesthesia PC CurrentSince Jul 12, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince May 1, 2015 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Aug 5, 2018 Accepting new patients
The Sylacauga Health Care Authority Past Accepting new patients
Lakeway Regional Anesthesia Services Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2720 University Blvd
Birmingham, AL 35233
Phone (205) 581-5380

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

110 S Anniston Ave
Sylacauga, AL 35150
Phone (256) 207-0200

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

44 N Broadway Ave
Sylacauga, AL 35150
Phone (256) 404-5321

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 1

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1669723748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 OLD ROCKY RIDGE RD",
            "address_2": "SUITE 106",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352167235",
            "telephone_number": "205-989-1080",
            "fax_number": "205-989-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W HICKORY ST",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502913",
            "telephone_number": "256-401-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOHN",
        "middle_name": "LUCAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-114177",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "16952",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.