Individual provider Active NPI

Scottie Lynn Twilley, D.O.

  • Family Medicine Physician
  • Cordova, AL
National Provider Identifier
1881615029
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO552 Issued in AL
Practice address
426 School St
Cordova, AL 35550-6000
Phone
(205) 483-8140
Fax
(205) 483-8144
NPI assigned
Jul 22, 2006
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO552 AL Primary

Addresses

Primary practice location

426 School St
Cordova, AL 35550-6000

Mailing address

426 School St
Cordova, AL 35550-6000
Phone (205) 483-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20031120000333 AL Practitioner - Family Practice 2769386960

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO552ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stwilley@direct.meditouchehr.com

Organizations & group practices 1

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1881615029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 SCHOOL ST",
            "city": "CORDOVA",
            "state": "AL",
            "postal_code": "355506000",
            "telephone_number": "205-483-8140",
            "fax_number": "205-483-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 SCHOOL ST",
            "city": "CORDOVA",
            "state": "AL",
            "postal_code": "355506000",
            "telephone_number": "205-483-8140",
            "fax_number": "205-483-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWILLEY",
        "first_name": "SCOTTIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, AL

Sources for this page

Verify at the official NPI Registry.