Individual provider Active NPI

William M Scott III, MD

  • Addiction Medicine (Family Medicine) Physician
  • Piedmont, SC
National Provider Identifier
1942296181
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
8878 Issued in SC
Practice address
206 Wall St
Piedmont, SC 29673-6754
Phone
(864) 269-7950
Fax
(864) 269-7948
NPI assigned
Sep 22, 2005
Last updated
Jun 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 8878 SC Primary

Addresses

Primary practice location

206 Wall St
Piedmont, SC 29673-6754

Mailing address

206 Wall St
Piedmont, SC 29673-6754
Phone (864) 269-7950

Other identifiers 4

IdentifierTypeStateIssuer
830438563OtherSCFEDERAL ID NUMBER
GP4309MedicaidSC
088782MedicaidSC
42D1047821OtherSCCLIA NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL anewcrossroad.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20051214000056 SC Practitioner - Family Practice 1658392188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Dr William M Scott, Mdvip PAGroup PAC ID 2365596772, 2 clinicians

Practice addresses (Care Compare)

206 Wall St
Piedmont, SC 29673-6754
Phone (864) 295-1280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince May 1, 2019 Accepting new patients
Dr William M Scott, Mdvip PA CurrentSince Jul 13, 2009 Accepting new patients
Addictionology Associates LLC Addiction Medicine CurrentSince Jun 17, 2020 Accepting new patients
SC House Calls Inc CurrentSince May 1, 2019 Accepting new patients
Daylight Wellness Group, LLC Addiction Medicine PastSince Jan 7, 2024 Accepting new patients

Locations

1624 Main St
Columbia, SC 29201
Phone (803) 454-0365

3150 Highway 153
Piedmont, SC 29673
Phone (846) 605-0018

206 Wall St
Powdersville, SC 29673
Phone (864) 269-7950

206 Wall St
Ste 2
Powdersville, SC 29673
Phone (864) 295-1280

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: william.scott.iii.1@7602.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1942296181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-269-7950",
            "fax_number": "864-269-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-269-7950",
            "fax_number": "864-269-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "8878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ID NUMBER",
            "identifier": "830438563",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4309",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088782",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "42D1047821",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "anewcrossroad.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "206 Wall St",
            "city": "Piedmont",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296736754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.