Individual provider Active NPI

Scott K Carroll, M.D.

  • Diagnostic Radiology Physician
  • Newnan, GA
National Provider Identifier
1942229299
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
027779 Issued in GA
Practice address
60 Hospital Rd
Newnan, GA 30263-1210
Phone
(770) 253-2330
NPI assigned
Jul 18, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 027779 GA Primary

Addresses

Primary practice location

60 Hospital Rd
Newnan, GA 30263-1210

Mailing address

37 Calumet Pkwy
#F Ste 103
Newnan, GA 30263-6734
Phone (770) 253-3006

Other identifiers 1

IdentifierTypeStateIssuer
00327808EMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000602 GA Practitioner - Diagnostic Radiology 6507868437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology and Medical Imagery of Newnan PCGroup PAC ID 5395738348, 38 clinicians

Practice addresses (Care Compare)

745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
027779GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Papp Clinic Current Accepting new patients
Radiology & Medical Imagery of Newnan, PC Diagnostic Radiology CurrentSince Jan 1, 2007 Accepting new patients
Piedmont Providers LLC CurrentSince Jul 29, 2011 Accepting new patients
Fayette Community Hospital, Inc. Past Accepting new patients
Papp Clinic Laboratory Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

101 Yorktown Dr
Ste 105
Fayetteville, GA 30214
Phone (770) 716-1111

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

15 Cavender St
Newnan, GA 30263
Phone (770) 253-6616

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-6040

1755 Highway 34 E
Ste 1200
Newnan, GA 30265
Phone (770) 304-4249

19 Perry St
Ste B6
Newnan, GA 30263
Phone (770) 253-3006

60 Hospital Rd
Newnan, GA 30263
Phone (770) 253-1912

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

775 Poplar Rd
Ste 110
Newnan, GA 30265
Phone (770) 400-4300

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 4

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1942229299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CALUMET PKWY",
            "address_2": "#F STE 103",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636734",
            "telephone_number": "770-253-3006",
            "fax_number": "770-253-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631210",
            "telephone_number": "770-253-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "027779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00327808E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.