Scott Alexander Stout, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1324 Issued in TN

Practice address

107 Glidepath Way
Lebanon, TN 37090-4133

Phone

(615) 449-5771

Fax

(615) 449-5740

NPI assigned

Oct 26, 2006

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Skin Surgery and DermatologyGroup PAC ID 0941391338, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.25 of 100Reported as group

Promoting interoperability

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: scott.stout@qdp.emadirect.md
• Direct secure messaging: sstout@directaddress.net

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.

• Cumberland Skin Surgery and Dermatology

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1922138247
  Medicare reassignment Care Compare group
• North Main Medical, LLC

  • Primary Care Clinic/Center
  • Crossville, TN
  • NPI 1679106306
  Medicare reassignment
• Advanced Sleep Consultants of Middle TN, Inc

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1912048307
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1942385893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385012439",
            "country_code": "US",
            "telephone_number": "931-484-6061",
            "fax_number": "931-484-6062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Deer Lodge Hwy",
            "address_purpose": "LOCATION",
            "city": "Clarkrange",
            "state": "TN",
            "postal_code": "385535027",
            "country_code": "US",
            "telephone_number": "931-200-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "SCOTT",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott@cumberland.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Modernizing Medicine Direct Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29 Taylor Ave",
            "address_2": "Suite 101",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "38555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Steves, RN
• Robert William Steves III, MD
• Jonathan Eric Stewart, PHARM.D.
• Ryan M. Stewart, D.C.
• Madeline Langenfelder Stoffer, FNP
• Lesa Lanius Stovall, CPE
• Alice Stricklin
• Stumb Healthcare Professionals, LLC
• Cristy Stumb, APRN
• Victoria Stupecki, LAT, ATC

• Physician Assistant in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.