Individual provider Active NPI

Wesley Douglas Scoles, M.D.

  • Family Medicine Physician
  • Monticello, FL
National Provider Identifier
1770549545
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME73507 Issued in FL
Practice address
1549 South Jefferson Steet
Monticello, FL 32344
Phone
(850) 997-0707
Fax
(850) 997-6833
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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 ME73507 FL Primary

Addresses

Primary practice location

1549 South Jefferson Steet
Monticello, FL 32344

Mailing address

1549 S. Jefferson Steet
Monticello, FL 32344
Phone (850) 997-0707

Other identifiers 1

IdentifierTypeStateIssuer
253056200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100928000855 FL Practitioner - Family Practice 5991821829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

1549 S Jefferson St
TMH Physician Partners Monticello
Monticello, FL 32344-1651
Phone (850) 997-0707

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73507FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince May 1, 2011 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince May 1, 2011 Accepting new patients

Locations

1549 S Jefferson St
Monticello, FL 32344
Phone (850) 997-0707

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

Interoperability endpoints

  • Direct secure messaging: wscoles38354@tallahasseememorial.direct-ci.com
  • Direct secure messaging: wesleyscoles@tmhpp.allscriptsdirect.net

Organizations & group practices 4

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 4

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364515200000",
    "number": "1770549545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 S. JEFFERSON STEET",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "32344",
            "telephone_number": "850-997-0707",
            "fax_number": "850-997-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 SOUTH JEFFERSON STEET",
            "city": "MONTICELLO",
            "state": "FL",
            "postal_code": "32344",
            "telephone_number": "850-997-0707",
            "fax_number": "850-997-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLES",
        "first_name": "WESLEY",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME73507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253056200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, FL

Sources for this page

Verify at the official NPI Registry.