Individual provider Active NPI

Scot Stanley Vermillion, MD

  • Diagnostic Radiology Physician
  • Greeneville, TN
National Provider Identifier
1902828478
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26007 Issued in TN
Practice address
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone
(423) 638-7057
Fax
(423) 638-5824
NPI assigned
Jul 24, 2006
Last updated
Oct 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9600061 NC
Diagnostic Radiology Physician 2085R0202X 039973 GA
Diagnostic Radiology Physician 2085R0202X 26007 TN Primary
Diagnostic Radiology Physician 2085R0202X ME88145 FL

Addresses

Primary practice location

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Mailing address

PO Box 11167
Knoxville, TN 37939-1167
Phone (865) 584-7376

Other identifiers 2

IdentifierTypeStateIssuer
3000735MedicaidTN
891015VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071215000077 TN Practitioner - Diagnostic Radiology 2769475896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leconte Radiology PCGroup PAC ID 1850373705, 31 clinicians

Practice addresses (Care Compare)

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 977-5567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.59 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88145FLMDDiagnostic Radiology Physician
039973GAMDDiagnostic Radiology Physician
9600061NCMDDiagnostic Radiology Physician
26007TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trek Radiology PLLC Current Accepting new patients
Leconte Radiology PC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Watauga Radiological Services PA Diagnostic Radiology Past Accepting new patients
Foundation Health Systems Corp. Past Accepting new patients
Lakewood-Manatee Radiology Consultants Past Accepting new patients
Radiology Associates of Houston County Diagnostic Radiology Past Accepting new patients
Triad Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Carolina West Radiology PA Diagnostic Radiology Past Accepting new patients
Sumner Radiology, PC Diagnostic Radiology PastSince Jul 1, 2011 Accepting new patients
Magnolia Surgery, PC Past Accepting new patients

Locations

266 Joule St
Alcoa, TN 37701
Phone (865) 984-3864

601 Dodds Ave
Chattanooga, TN 37404
Phone (423) 629-9783

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: svermillion872617@direct.ghs.myhfn.org

Organizations & group practices 10

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 2

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1902828478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11167",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379391167",
            "telephone_number": "865-584-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454279",
            "telephone_number": "423-638-7057",
            "fax_number": "423-638-5824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILLION",
        "first_name": "SCOT",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "9600061",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "039973",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "26007",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME88145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000735",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891015V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.