Individual provider Active NPI

Scott Dobson, M.D.

  • Pediatrics Physician
  • Simpsonville, SC
National Provider Identifier
1689692444
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24580 Issued in SC
Practice address
211 Batesville Rd
Simpsonville, SC 29681-4816
Phone
(864) 272-0388
Fax
(864) 213-9237
NPI assigned
Jul 18, 2006
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 24580 SC Primary

Addresses

Primary practice location

211 Batesville Rd
Simpsonville, SC 29681-4816

Mailing address

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other practice location 1

312 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 272-0388

Other practice location 2

145 E Poinsett St
Greer, SC 29651-3405
Phone (864) 272-0388

Other practice location 3

3020 Reidville Rd Ste B
Spartanburg, SC 29301-5641
Phone (864) 272-0388

Other practice location 4

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone (864) 272-0388

Other identifiers 4

IdentifierTypeStateIssuer
24580OtherSCSTATE LICENSE #
11622238OtherSCCAQH #
245808MedicaidSC
203730220OtherSCTAX ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000360 SC Practitioner - Pediatric Medicine 6204833213 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24580SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Affiliate Physicians Pediatrics CurrentSince Oct 1, 2021 Accepting new patients
Musc Affiliate Physicians CurrentSince Oct 1, 2021 Accepting new patients
Tribe513, P.a. PastSince Jul 1, 2016 Accepting new patients
Prisma Health-Upstate Past Accepting new patients
University Medical Associates Past Accepting new patients

Locations

525 Verdae Blvd
#200
Greenville, SC 29607
Phone (864) 603-5600

145 E Poinsett St
Greer, SC 29651
Phone 86460356003222

211 Batesville Rd
Simpsonville, SC 29681

312 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 603-5600

312 Harrison Bridge Rd
Ste A
Simpsonville, SC 29680

3020 Reidville Rd
#B
Spartanburg, SC 29301
Phone (846) 576-5764

Interoperability endpoints

  • Direct secure messaging: scott.dobson@tribe513.eclinicaldirectplus.com

Organizations & group practices 5

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1689692444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VERDAE BLVD STE 200",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074021",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BATESVILLE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814816",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Harrison Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807133",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E Poinsett St",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296513405",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Reidville Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015641",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Verdae Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074021",
            "country_code": "US",
            "telephone_number": "864-272-0388",
            "fax_number": "864-213-9237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "24580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "24580",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11622238",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245808",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "203730220",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.