NPIMap

Organization Active NPI

Scotland Regional Health Network

Doing business as Scotland Surgical and GI Associates

  • Surgery Physician
  • Bennettsville, SC
National Provider Identifier
1942962113
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SCOTLAND REGIONAL HEALTH NETWORK
Doing business as
Scotland Surgical and GI Associates
Practice address
1007 Cheraw St
Bennettsville, SC 29512-2422
Phone
(910) 277-9164
NPI assigned
Oct 6, 2021
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
SCOTLAND REGIONAL HEALTH NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Lucien St Onge, CFO
Title
Treasurer
Phone
(910) 291-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1007 Cheraw St
Bennettsville, SC 29512-2422

Mailing address

PO Box 604093
Charlotte, NC 28260-4093
Phone (910) 291-7000

Other names 1

  • Scotland Surgical and GI Associates Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229002177 SC Part B Supplier - Clinic/Group Practice 2365573185 Receives reassigned benefits from 2 practitioners
Practice locations: Bennettsville, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Scotland Regional Health Network4 organizations share this tax ID, including this one
Part of
Scotland Regional Health Network

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24420 Marlboro St
Wagram, NC 28396
Phone (910) 369-3136

Practitioners & affiliated clinicians

Practitioners 276

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 276

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1942962113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604093",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604093",
            "telephone_number": "910-291-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 CHERAW ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122422",
            "telephone_number": "910-277-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTLAND REGIONAL HEALTH NETWORK",
        "enumeration_date": "2021-10-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ST ONGE",
        "authorized_official_first_name": "LUCIEN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "910-291-7000",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1007 Cheraw St",
            "city": "Bennettsville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295122422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Scotland Surgical and GI Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Scotland Surgical and GI Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bennettsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.