NPIMap

Organization Active NPI

Scotland Regional Health Network

  • Obstetrics & Gynecology Physician
  • Laurinburg, NC
National Provider Identifier
1780969394
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SCOTLAND REGIONAL HEALTH NETWORK
Practice address
705B Lauchwood Dr
Laurinburg, NC 28352-5544
Phone
(910) 276-7552
Fax
(910) 277-0531
NPI assigned
Oct 14, 2011
Organization subpart
Yes
Parent organization
SCOTLAND REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Matthew Pracht
Title
VP Finance
Phone
(910) 291-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

705B Lauchwood Dr
Laurinburg, NC 28352-5544

Mailing address

PO Box 602458
Charlotte, NC 28260-2458
Phone (910) 276-7552

Other identifiers 2

IdentifierTypeStateIssuer
5918881MedicaidNC
NPB456MedicaidSC

Other names 1

  • Scotland Women's Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000242 NC Part B Supplier - Clinic/Group Practice 2365573185 Receives reassigned benefits from 282 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laurinburg, NC; Pembroke, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Scotland Regional Health Network

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1780969394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602458",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602458",
            "telephone_number": "910-276-7552",
            "fax_number": "910-277-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705B LAUCHWOOD DR",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525544",
            "telephone_number": "910-276-7552",
            "fax_number": "910-277-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "enumeration_date": "2011-10-14",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "PRACHT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "910-291-7920"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5918881",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB456",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scotland Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.