Individual provider Active NPI

Scott Jay Wolfe, M.D.

  • Family Medicine Physician
  • Natchez, MS
National Provider Identifier
1740215797
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18058 Issued in MS
Practice address
46 Seargent S. Prentiss Dr
Suite 203
Natchez, MS 39120-4792
Phone
(601) 445-7773
Fax
(601) 445-5911
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18058 MS Primary

Addresses

Primary practice location

46 Seargent S. Prentiss Dr
Suite 203
Natchez, MS 39120-4792

Mailing address

PO Box 19143
Natchez, MS 39122-9143
Phone (601) 445-7773

Other identifiers 1

IdentifierTypeStateIssuer
07037821MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20091208000356 MS Practitioner - Family Practice 4981742418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 SGT Prentiss Dr
Suite 203
Natchez, MS 39120-4755
Phone (601) 445-7773

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of Natchez, PLLC Family Medicine CurrentSince Jul 1, 2009 Accepting new patients
Natchez Regional Medical Center Past Accepting new patients

Locations

46 Sgt Prentiss Dr
Ste 203
Natchez, MS 39120
Phone (601) 445-7773

Interoperability endpoints

  • Direct secure messaging: familymedicineassociatesofnatchezpllc.scottwolfe@117547.advancedmd-direct.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Enhabit Hospice of VidaliaVidalia, LA, CCN 191571 Hospice Contracted Managing Employee Sep 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1740215797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19143",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391229143",
            "telephone_number": "601-445-7773",
            "fax_number": "601-445-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SEARGENT S. PRENTISS DR",
            "address_2": "SUITE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-445-7773",
            "fax_number": "601-445-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "SCOTT",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "18058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07037821",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.