Active NPI
Scott Morris Berry, M.D.
- Surgery Physician
- Little River, SC
National Provider Identifier
1841305679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 14869
- Practice address
- 4000 Highway 9 E Ste 245
Little River, SC 29566-7833 - Phone
- (843) 366-2940
- Fax
- (843) 366-2470
- NPI assigned
- Aug 20, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 14869 | MS | Primary |
Addresses
Primary practice location
4000 Highway 9 E Ste 245
Little River, SC 29566-7833
Mailing address
506 E Cheves St Ste 202
Florence, SC 29506-2616
Phone (843) 777-5091
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000116846 | Medicaid | MS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231109000405 | SC | Practitioner - General Surgery | 4082748835 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Surgery | Current | Accepting new patients |
| McLeod Physician Associates II | Current | Accepting new patients |
Locations
800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337
800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950
506 E Cheves St
#202
Florence, SC 29506
4000 Highway 9 E
Ste 245
Little River, SC 29566
Phone (843) 366-2940
Interoperability endpoints
- sberry17327@ummc.direct-ci.com
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Florence, SC
- NPI 1104035492
-
- Orthopaedic Surgery Physician
- Florence, SC
- NPI 1922555739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1841305679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 E CHEVES ST STE 202",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062616",
"telephone_number": "843-777-5091",
"fax_number": "843-777-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 HIGHWAY 9 E STE 245",
"city": "LITTLE RIVER",
"state": "SC",
"postal_code": "295667833",
"telephone_number": "843-366-2940",
"fax_number": "843-366-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "SCOTT",
"middle_name": "MORRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "14869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000116846",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little River, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.