Individual provider Active NPI

Scott Arnold Ajello, PA-C

  • Physician Assistant
  • Sherrills Ford, NC
National Provider Identifier
1750345161
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00393 Issued in NC
Practice address
3900 Terrell Park Dr
Sherrills Ford, NC 28673-9509
Phone
(828) 782-3245
Fax
(828) 655-2344
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00393 NC Primary

Addresses

Primary practice location

3900 Terrell Park Dr
Sherrills Ford, NC 28673-9509

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (828) 459-6824

Other practice location 1

441 McAlister Rd Ste 1100A
Lincolnton, NC 28092-4127
Phone (704) 732-4064

Other identifiers 1

IdentifierTypeStateIssuer
1750345161MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20060223000611 NC Practitioner - Physician Assistant 1951317262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3900 Terrell Park Dr
Suite 101
Sherrills Ford, NC 28673-9509
Phone (828) 459-6824

Hospital & facility affiliations

  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00393NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina Physician Assistant CurrentSince Jun 1, 2019 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Jun 1, 2019 Accepting new patients
Southeast Pain Management Services, PLLC Past Accepting new patients

Locations

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

441 McAlister Rd
Ste 1100A
Lincolnton, NC 28092
Phone (704) 732-4064

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.

Hospital & facility affiliations 1

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1750345161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "828-459-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 TERRELL PARK DR",
            "city": "SHERRILLS FORD",
            "state": "NC",
            "postal_code": "286739509",
            "telephone_number": "828-782-3245",
            "fax_number": "828-655-2344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 McAlister Rd Ste 1100A",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924127",
            "country_code": "US",
            "telephone_number": "704-732-4064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJELLO",
        "first_name": "SCOTT",
        "middle_name": "ARNOLD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750345161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherrills Ford, NC

Sources for this page

Verify at the official NPI Registry.