Active NPI
Coridalia Wald Scott, MD
- Anatomic Pathology Physician
- Greensboro, NC
National Provider Identifier
1679690663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- 22318
- Practice address
- 1100 Revolution Mill Dr
Greensboro, NC 27405-5067 - Phone
- (336) 510-1120
- Fax
- (336) 510-1159
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | 22318 | NC | |
| Anatomic Pathology Physician | 207ZP0101X | 22318 | NC | Primary |
Addresses
Primary practice location
1100 Revolution Mill Dr
Greensboro, NC 27405-5067
Mailing address
PO Box 13029
Greensboro, NC 27415-3029
Phone (336) 510-1120
Other names 1
- Dr. Coridalia Wald-Scott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22318 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Laboratories-Marion County | Past | Accepting new patients |
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 and National Provider Directory roles.
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- Ocala, FL
- NPI 1790262962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679690663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13029",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274153029",
"telephone_number": "336-510-1120",
"fax_number": "336-510-1159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 REVOLUTION MILL DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055067",
"telephone_number": "336-510-1120",
"fax_number": "336-510-1159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CORIDALIA",
"middle_name": "WALD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "NC",
"license": "22318",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "NC",
"license": "22318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORIDALIA",
"last_name": "WALD-SCOTT",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.