Individual provider Active NPI

Vernon Leon Scott Sr., M.D.

  • Family Medicine Physician
  • Tuscaloosa, AL
National Provider Identifier
1992786958
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8944 Issued in AL
Practice address
922 Fairfax Park
Tuscaloosa, AL 35406-2804
Phone
(205) 391-9300
Fax
(205) 391-9374
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8944 AL Primary

Addresses

Primary practice location

922 Fairfax Park
Tuscaloosa, AL 35406-2804

Mailing address

922 Fairfax Park
Tuscaloosa, AL 35406-2804
Phone (205) 391-9300

Other identifiers 2

IdentifierTypeStateIssuer
000013128OtherALBC/BS
000013128MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101119000498 AL Practitioner - Family Practice 2668457904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

922 Fairfax Park
Tuscaloosa, AL 35406-2804
Phone (205) 391-9300

Hospital & facility affiliations

  • DCH Home Health Care Agency Home health agency, Tuscaloosa, AL, CCN 017080
  • Centerwell Home Health Home health agency, Hoover, AL, CCN 017026
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Hospice of West Alabama Hospice, Tuscaloosa, AL, CCN 011517
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8944ALMDFamily Medicine Physician

Practice roles (1 of 7)

OrganizationSpecialtyStatusNew patients
Alabama Multi-Specialty Group, PC Family Medicine CurrentSince Oct 1, 1984 Accepting new patients

Locations

922 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 391-9300

Networks

  • bcbs alabama network 01A0
  • bcbs alabama network 01C0
  • bcbs alabama network 01G0
  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0

Interoperability endpoints

  • Direct secure messaging: vernon.scott@amg.direct.medconnecthealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992786958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062804",
            "telephone_number": "205-391-9300",
            "fax_number": "205-391-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 FAIRFAX PARK",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062804",
            "telephone_number": "205-391-9300",
            "fax_number": "205-391-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "VERNON",
        "middle_name": "LEON",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000013128",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000013128",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.