Scott Jay Lawlis, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

300 Hospital Road
Eisenhower Army Medical Center Commumity Care Clinic
Fort Gordon, GA 30905-5650

Phone

(706) 787-9123

Fax

(706) 787-8022

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1982772745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5662 DOGWOOD DR NE",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308245145",
            "telephone_number": "706-595-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL ROAD",
            "address_2": "EISENHOWER ARMY MEDICAL CENTER COMMUMITY CARE CLINIC",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-9123",
            "fax_number": "706-787-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLIS",
        "first_name": "SCOTT",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Douglas Lantz, CRNA
• Constance Larson, MD
• Alexis L Lauria, MD
• Daniel Joe Lavengood
• Constance Ann Lavieri-Reynolds, M.D.
• Carla B. Lee, MD
• Daniel Fields Lee, DO
• Miju Lee
• Scott Allen Lemmons, D.D.S.
• Casey Patrick Leser, DDS

• Medical Physician Assistant in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.