Individual provider Active NPI

Cordy McGill-Scarlett, MD,MS

  • Psychiatry Physician
  • Charleston, SC
National Provider Identifier
1790301240
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LL84435 Issued in SC
Practice address
67 President St
Charleston, SC 29425-5712
Phone
(843) 792-0192
NPI assigned
Jun 21, 2020
Last updated
Jun 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL84435 SC Primary

Addresses

Primary practice location

67 President St
Charleston, SC 29425-5712

Mailing address

169 Ashley Ave RM 202
Charleston, SC 29425-8905
Phone (843) 792-0192

Other practice location 1

67 President St
Charleston, SC 29425-5712
Phone (843) 789-7238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241104003145 SC Practitioner - Psychiatry 2062831001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Florida State University College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1135 Gregg Hwy NW
Aiken, SC 29801-6341
Phone (803) 641-7700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

1135 Gregg Hwy NW
Aiken, SC 29801
Phone (803) 641-7700

916 Reynolds Rd
Barnwell, SC 29812
Phone (803) 259-7170

67 President St
Charleston, SC 29425
Phone (843) 792-0192

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1790301240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE RM 202",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-792-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PRESIDENT ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294255712",
            "telephone_number": "843-792-0192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 President St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294255712",
            "country_code": "US",
            "telephone_number": "843-789-7238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL-SCARLETT",
        "first_name": "CORDY",
        "name_prefix": "Dr.",
        "credential": "MD,MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL84435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.