Active NPI
Scotlyn Patterson
- Physician Assistant
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4149
- Practice address
- 111 Doctors Dr
Greenville, SC 29605-5622 - Phone
- (864) 797-7100
- Fax
- (864) 797-7105
- NPI assigned
- Aug 17, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.1868 | AL | |
| Physician Assistant | 363A00000X | 4149 | SC | Primary |
Addresses
Primary practice location
111 Doctors Dr
Greenville, SC 29605-5622
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
432 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808
Other practice location 2
238 Lake Cameron Dr
Pike Road, AL 36064-3892
Phone (334) 300-2390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 797-7150
109 Doctors Dr
Greenville, SC 29605-5608
Phone (864) 797-7035
210 Freeman Farm Rd
Duncan, SC 29334-9398
Phone (864) 968-5123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4149 | SC | MD | Speech-Language Pathologist |
| PA.1868 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prisma Health University Medical Group | Current | Accepting new patients | |
| The Center for Pain of Montgomery LLC | Current | Accepting new patients | |
| Prisma Health University Medical Group | Current | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
2065 E South Blvd
Ste 401
Montgomery, AL 36116
432 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 239-4498
210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
111 Doctors Dr
Greenville, SC 29605
Phone (864) 242-4683
Interoperability endpoints
- spatterson609418@direct.ghs.myhfn.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
-
- Interventional Pain Medicine Physician
- Montgomery, AL
- NPI 1588710289
-
- Gynecology Physician
- Greer, SC
- NPI 1003619313
-
- Family Medicine Physician
- Easley, SC
- NPI 1295218642
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1871469239
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1629432869
-
- General Acute Care Hospital
- Greer, SC
- NPI 1821760430
-
- General Acute Care Hospital
- Greer, SC
- NPI 1982150009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1740891357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DOCTORS DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296055622",
"telephone_number": "864-797-7100",
"fax_number": "864-797-7105"
}
],
"practiceLocations": [
{
"address_1": "432 Saint Lukes Dr",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361177104",
"country_code": "US",
"telephone_number": "334-288-7808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "238 Lake Cameron Dr",
"address_purpose": "LOCATION",
"city": "Pike Road",
"state": "AL",
"postal_code": "360643892",
"country_code": "US",
"telephone_number": "334-300-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "SCOTLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA.1868",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "4149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.