Individual provider Active NPI

Scott McClelland, DO

  • Psychiatry Physician
  • Rocky Mount, NC
National Provider Identifier
1861484230
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12841 Issued in NC
Practice address
114 Forest Hill Ave
Suite 2
Rocky Mount, NC 27804-3728
Phone
(252) 628-8300
Fax
(252) 642-6622
NPI assigned
Aug 22, 2005
Last updated
Feb 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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 12841 NC Primary

Addresses

Primary practice location

114 Forest Hill Ave
Suite 2
Rocky Mount, NC 27804-3728

Mailing address

PO Box 30365
Greenville, NC 27833-0365
Phone (252) 628-8300

Other identifiers 2

IdentifierTypeStateIssuer
134GAOtherNCBCBS NC
89134GAMedicaidNC

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12841NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whiteville Mat Services, Inc. CurrentSince Apr 6, 2021 Accepting new patients
Comprehensive Mental Health, P.a. Psychiatry Past Accepting new patients
Care First Mental Health, PA Psychiatry PastSince Jul 27, 2009 Accepting new patients
Alternative Care Treatments Systems, Inc Past Accepting new patients
Bridges of Hope Inc Past Accepting new patients

Locations

109 Leslie Newsome Ave
Whiteville, NC 28472
Phone (910) 640-1830

Organizations & group practices 5

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1861484230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30365",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330365",
            "telephone_number": "252-628-8300",
            "fax_number": "252-642-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FOREST HILL AVE",
            "address_2": "SUITE 2",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278043728",
            "telephone_number": "252-628-8300",
            "fax_number": "252-642-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "12841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "134GA",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134GA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.