Individual provider Active NPI

Ashley Carr Scoggins, CRNP

  • Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1730466798
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-102772 Issued in AL
Practice address
117 2ND Ave SE
Cullman, AL 35055-3511
Phone
(256) 291-8877
Fax
(833) 319-3812
NPI assigned
Nov 4, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-102772 AL Primary
Acute Care Nurse Practitioner 363LA2100X 1-102772 AL

Addresses

Primary practice location

117 2ND Ave SE
Cullman, AL 35055-3511

Mailing address

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Other identifiers 1

IdentifierTypeStateIssuer
139449MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.scoggins@Warmed.direct.medconnect-inc.com Direct WARRIOR MEDICAL ASSOCIATES, PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140519001869 AL Practitioner - Nurse Practitioner 6709009863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians

Practice addresses (Care Compare)

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-102772ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warehouse Primary Care & Specialty Clinic Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

101 2nd Ave SE
Cullman, AL 35055
Phone (256) 737-1793

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

Interoperability endpoints

  • Direct secure messaging: ashley.scoggins@warmed.direct.medconnect-inc.com
  • Direct secure messaging: ashley.carrscoggins@948034614067204.direct.elationemr.com

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.

Hospital & facility affiliations 2

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": "1320364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1730466798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 2ND AVE SE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553511",
            "telephone_number": "256-291-8877",
            "fax_number": "833-319-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR SCOGGINS",
        "first_name": "ASHLEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-04",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-102772",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-102772",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139449",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.scoggins@Warmed.direct.medconnect-inc.com",
            "affiliation": "Y",
            "endpointDescription": "Direct email",
            "affiliationName": "WARRIOR MEDICAL ASSOCIATES, PC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Dana Rd",
            "city": "Warrior",
            "state": "AL",
            "country_code": "US",
            "postal_code": "351801420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.