Kody Scruggs

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137947 Issued in TX

Practice address

8035 Memorial Blvd Ste B
Port Arthur, TX 77640-7002

Phone

(409) 344-9307

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifeline Urgent Care LLCGroup PAC ID 6305110917, 7 clinicians

Tower Medical Center of Nederland PAGroup PAC ID 8224484654, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lifeline Urgent Care LLC

  dba Citra Urgent Care

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1508391962

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Tower Medical Center of Nederland PA

  • Urgent Care Clinic/Center
  • Nederland, TX
  • NPI 1033294004

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Hybrid Primary Care PC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1477340065

  Multi-Specialty

  Medicare reassignment NPD
• Total Care Port Arthur LLC

  • Urgent Care Clinic/Center
  • Bridge City, TX
  • NPI 1770950388

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1861988289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 BERNHARDT DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776421956",
            "telephone_number": "409-962-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 MEMORIAL BLVD STE B",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776407002",
            "telephone_number": "409-344-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "KODY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald W Savoie, NP
• John Evans Savoy II, DDS
• Darlene Marie Schexnyder
• Scott Kerr Enterprises
• George G Scott Jr., D.D.S.
• Sea Rim Emergency Physicians PLLC
• Seale TX4 Inc.
• Seamless Medical Centers PLLC
• Johnette Dyan Segura, CCC-SLP
• Gary Jonathan Self, RPH

• Family Nurse Practitioner in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.