Active NPI
Scot a. Wall, MD, PC
- Ophthalmology Physician
- Albany, GA
National Provider Identifier
1922007525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- SCOT A. WALL, MD, PC
- Practice address
- 2308 Palmyra Rd
Albany, GA 31701-1324 - Phone
- (229) 888-2395
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scot Allen Wall, MD
- Title
- Owner/President
- Phone
- (229) 888-2395
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2308 Palmyra Rd
Albany, GA 31701-1324
Mailing address
2308 Palmyra Rd
Albany, GA 31701-1324
Phone (229) 888-2395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55000513A | Medicaid | GA |
Other names 1
- Wall Eye Care Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Albany, GA
- NPI 1760487276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1922007525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2308 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011324",
"telephone_number": "229-888-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2308 PALMYRA RD",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011324",
"telephone_number": "229-888-2395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOT A. WALL, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-18",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "WALL",
"authorized_official_first_name": "SCOT",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "229-888-2395",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55000513A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wall Eye Care Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.