Individual provider Active NPI

Jennifer Trew Scruggs, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Little Rock, AR
National Provider Identifier
1912906876
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
E-8870 Issued in AR
Practice address
9800 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6229
Phone
(501) 221-0123
Fax
(501) 227-8859
NPI assigned
Jul 21, 2005
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X E-8870 AR Primary

Addresses

Primary practice location

9800 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6229

Mailing address

9800 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6229
Phone (501) 221-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20150126000058 AR Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 8527033042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer T Scruggs MD PAGroup PAC ID 8426372301, 2 clinicians

Practice addresses (Care Compare)

4261 Stockton Dr
Suite 201
North Little Rock, AR 72117-2962
Phone (501) 221-0123

9800 Baptist Health Dr
Suite 600
Little Rock, AR 72205-6244
Phone (501) 221-0123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer T Scruggs MD PA Ophthalmology CurrentSince Feb 15, 2015 Accepting new patients
T David I Wilkes MD PA Ophthalmology Past Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology Past Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Locations

9800 Baptist Health Dr
Ste 600
Little Rock, AR 72205
Phone (501) 221-0123

4261 Stockton Dr
Ste 201
North Little Rock, AR 72117
Phone (501) 221-0123

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, 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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1912906876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056229",
            "telephone_number": "501-221-0123",
            "fax_number": "501-227-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 BAPTIST HEALTH DR",
            "address_2": "SUITE 600",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056229",
            "telephone_number": "501-221-0123",
            "fax_number": "501-227-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "JENNIFER",
        "middle_name": "TREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "AR",
            "license": "E-8870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.