Individual provider Active NPI

Anna Victoria Scarbrough, AU.D.

  • Audiologist
  • Madison, MS
National Provider Identifier
1902384316
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-4681 Issued in MS
Practice address
204 Key Dr Ste C
Madison, MS 39110-5010
Phone
(601) 351-5433
NPI assigned
Jul 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A-4681 MS Primary

Addresses

Primary practice location

204 Key Dr Ste C
Madison, MS 39110-5010

Mailing address

204 Key Dr Ste C
Madison, MS 39110-5010
Phone (601) 351-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904002091 CT Practitioner - Qualified Audiologist 0345590832 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A-4681MSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital Audiologist CurrentSince Jul 23, 2018 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Jul 23, 2018 Accepting new patients
ENT of Georgia, LLC Past Accepting new patients

Locations

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

Organizations & group practices 3

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": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1902384316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105010",
            "telephone_number": "601-351-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105010",
            "telephone_number": "601-351-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-30",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A-4681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.