Active NPI
Hugo Alejandro Scornik, M.D.
- Pediatrics Physician
- Conyers, GA
National Provider Identifier
1801821475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 043472
- Practice address
- 1277 Wellbrook Cir NE Ste B
Conyers, GA 30012-3973 - Phone
- (770) 922-5745
- Fax
- (678) 750-1406
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 043472 | GA | Primary |
Addresses
Primary practice location
1277 Wellbrook Cir NE Ste B
Conyers, GA 30012-3973
Mailing address
1277 Wellbrook Cir NE Ste B
Conyers, GA 30012-3973
Phone (770) 922-5745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000757644A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043472 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Rockdale Hospital Inc. | Past | Accepting new patients | |
| Conyers Pediatrics, PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Conyers, GA
- NPI 1831217157
-
- General Acute Care Hospital
- Conyers, GA
- NPI 1306355680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1801821475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1277 WELLBROOK CIR NE STE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123973",
"telephone_number": "770-922-5745",
"fax_number": "678-750-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1277 WELLBROOK CIR NE STE B",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123973",
"telephone_number": "770-922-5745",
"fax_number": "678-750-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCORNIK",
"first_name": "HUGO",
"middle_name": "ALEJANDRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "043472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000757644A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.