Individual provider Active NPI

Kelly H Scoggins, NP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1902160112
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN112607 Issued in GA
Practice address
1500 Oglethorpe Ave Ste 2000
Athens, GA 30606-2188
Phone
(706) 548-5488
Fax
(706) 548-0016
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN112607 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave Ste 2000
Athens, GA 30606-2188

Mailing address

PO Box 48089
Athens, GA 30604-8089
Phone (706) 389-3950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kscoggins2022122@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20120907000344 GA Practitioner - Nurse Practitioner 2567610017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgical Associates of AthensGroup PAC ID 2668463290, 15 clinicians

Practice addresses (Care Compare)

1357 Oconee Connector
BLDG 300
Watkinsville, GA 30677-7314
Phone (706) 549-8306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.37 of 100Reported as group
Quality
88.37
Promoting interoperability
100
Improvement activities
40
Cost
70.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN112607GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Hospital, Inc. CurrentSince Aug 15, 2012 Accepting new patients
University Surgical Associates of Athens CurrentSince Jun 12, 2023 Accepting new patients
Northside Hospital, Inc. Current Accepting new patients
Gwinnett Pathology Assoc PC Current Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

1230 Baxter St
Athens, GA 30606
Phone (706) 364-3100

100 Medical Center Blvd
Ste 165
Lawrenceville, GA 30046
Phone (678) 312-2600

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1357 Oconee Connector
Bldg 300
Watkinsville, GA 30677
Phone (706) 250-7796

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1902160112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48089",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306048089",
            "telephone_number": "706-389-3950",
            "fax_number": "706-389-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE STE 2000",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062188",
            "telephone_number": "706-548-5488",
            "fax_number": "706-548-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "KELLY",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN112607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscoggins2022122@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Oglethorpe Ave Ste 2000",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306062188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.