Scott Garner Moore, M.D.
Individual provider Active NPI Family Medicine Physician · Flomaton, AL
NPI 1861490476 · NPPES record last updated Apr 15, 2020
Key facts
- NPI
- 1861490476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34200 (AL)
- Practice address
- 174 Highway 113
Flomaton, AL 36441-4556 - Phone
- (251) 296-2456
- Fax
- (251) 296-2400
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- D.W. McMillan Memorial Hospital
Practice addresses (Care Compare)
1301 Belleville Ave
Brewton, AL 36426-1306
Phone (251) 867-8061
174 Hwy 113
Flomaton, AL 36441-4556
Phone (251) 296-2456
Hospital & facility affiliations
- D W McMillan Home Health
- Amedisys Home Health of Brewton
- Atmore Community Home Care
- D W McMillan Memorial Hospital
- Jay Hospital
- Andalusia Health
- Atmore Community Hospital
- West Gate Village
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.54 of 100
- Quality
- 51.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in FL, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Flomaton Medical Center |
Rural health clinic | Corporate Director W-2 Managing Employee |
Feb 26, 2020 Feb 26, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130430000272 | FL | Practitioner - Family Practice | 0547257735 | Reassigns benefits to 1 organization |
| I20150714002730 | AL | Practitioner - Family Practice | 0547257735 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34200 | AL | MD | Family Medicine Physician |
| 115576 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ies Alabama PLLC | Current |
Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current |
Accepting new patients | |
| D.W. McMillan Memorial Hospital | Current |
Accepting new patients | |
| West Gate Village, LLC | Past | Accepting new patients | |
| Samaritan Emergency Corp | Past | Accepting new patients | |
| D. W. McMillan Memorial Hospital | Past | Accepting new patients |
Locations
849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953
1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180
1301 Belleville Ave
Brewton, AL 36426
Phone (251) 809-8439
174 Highway 113
Flomaton, AL 36441
Phone (251) 296-2456
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38679 | KY | |
| Family Medicine Physician | 207Q00000X | 115576 | FL | |
| Family Medicine Physician | 207Q00000X | 34200 | AL | Yes |
Addresses
Primary practice location
174 Highway 113
Flomaton, AL 36441-4556
Mailing address
174 Highway 113
Flomaton, AL 36441-4556
Phone (251) 296-2456
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148029 | Medicaid | AL | |
| 000000326872 | Other | KY | BCBS PROVIDER ID |
| 1213053 | Other | KY | CHA PROVIDER ID |
| 64075468 | Medicaid | KY | |
| 008455000 | Medicaid | FL | |
| 35001700 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smoore@echca.org | Direct |
Other providers in Flomaton, AL
- Lisa K Hoehn
- Mark Thomas Hudson
- Kelsie Lauren Johnson
- Melissa Gail Kilcrease
- Anna M. Lee
- Gary M Silbernagel
- Tree of Life Healing and Recovery LLC
- Jaumelle Ward
- Brent Richard Yoder
All providers in Flomaton, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.