Individual provider Active NPI

Michael Coleman Scruggs, MD

  • Diagnostic Radiology Physician
  • Rutherfordton, NC
National Provider Identifier
1871573394
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20202 Issued in NC
Practice address
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone
(828) 286-5335
Fax
(828) 286-5231
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20202 NC Primary
Otolaryngology Physician 207Y00000X 20202 NC

Addresses

Primary practice location

288 S Ridgecrest Ave
Rutherfordton, NC 28139

Mailing address

PO Box 886
131 W 2ND St
Rutherfordton, NC 28139
Phone (828) 287-2984

Other identifiers 1

IdentifierTypeStateIssuer
7975083MedicaidNC

Other names 1

  • Dr. Michael Coleman Scruggs Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000492 NC Practitioner - Diagnostic Radiology 5092719773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of North Carolina at Chapel Hill School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Imaging Center IncGroup PAC ID 2163568668, 4 clinicians

Practice addresses (Care Compare)

119 Mountain View Rd
Mars Hill, NC 28754-9500
Phone (828) 692-6848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20202NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Dec 17, 2017 Accepting new patients
Providence Imaging Center Inc Diagnostic Radiology CurrentSince Sep 8, 2019 Accepting new patients
Genesiscare USA of North Carolina, PA Past Accepting new patients
Rutherford Radiological Associates PA Diagnostic Radiology PastSince Jul 1, 2006 Accepting new patients

Locations

53 S French Broad Ave
Ste 200
Asheville, NC 28801
Phone (828) 258-9635

711 New Leicester Hwy
Asheville, NC 28806
Phone (828) 253-3717

2315 Asheville Hwy
Ste 40
Hendersonvlle, NC 28791
Phone (828) 253-5314

119 Mountain View Rd
Mars Hill, NC 28754
Phone (828) 689-3491

720 Newman Rd
New Bern, NC 28562
Phone (252) 638-3885

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1871573394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "address_2": "131 W 2ND ST",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-287-2984",
            "fax_number": "828-287-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "28139",
            "telephone_number": "828-286-5335",
            "fax_number": "828-286-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "MICHAEL",
        "middle_name": "COLEMAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "20202",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "20202",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7975083",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SCRUGGS",
            "middle_name": "COLEMAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.