Individual provider Active NPI

John Glenn Scott, M.D., PH.D.

  • Family Medicine Physician
  • Las Cruces, NM
National Provider Identifier
1992884456
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TM2020-1177 Issued in NM
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Phone
(802) 748-9501
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA72009 NJ
Family Medicine Physician 207Q00000X 042-0011945 VT
Family Medicine Physician 207Q00000X 59062 TX
Family Medicine Physician 207Q00000X TM2020-1177 NM Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5076

Mailing address

22730 Diamond Bay Dr
Frankston, TX 75763-4020
Phone (732) 512-7704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NM, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100629000005 VT Practitioner - Family Practice 9335275965 Reassigns benefits to 2 organizations
I20220728002588 NM Practitioner - Family Practice 9335275965 Reassigns benefits to 1 organization
I20260319000389 NC Practitioner - Family Practice 9335275965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Duke University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appalachian Regional Medical Associates Inc 147 clinicians
PHC-Las Cruces Inc 22 clinicians

Practice addresses (Care Compare)

148 Hwy 105 Ext
Suite 102
Boone, NC 28607-5682
Phone (828) 386-2222

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 556-6550

Hospital & facility affiliations

  • Watauga Medical Center Hospital, Boone, NC, CCN 340051

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA72009NJMDFamily Medicine Physician
TM2020-1177NMMDFamily Medicine Physician
59062TXMDFamily Medicine Physician
042-0011945VTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PHC-Las Cruces Inc Family Medicine Current Accepting new patients
PHC Las Cruces CurrentSince May 1, 2022 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
PHC Las Cruces Inc CurrentSince May 1, 2022 Accepting new patients
Northeastern Vermont Regional Hospital Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Apr 20, 2010 Accepting new patients
Northeastern Vermont Regional Hospital, Inc CurrentSince Oct 1, 2011 Accepting new patients
Northeastern Vermont Regional Hospital, Inc Current Accepting new patients
Northeastern Vermont Regional Hospital Inc. CurrentSince Apr 20, 2010 Accepting new patients
Appalachian Regional Medical Associates, Inc. Family Medicine CurrentSince Mar 7, 2026 Accepting new patients
Rutgers Health-PCC Monument Square Family Medicine Past Accepting new patients
Northeast Arkansas Clinic, PA Past Accepting new patients

Locations

148 Highway 105 Ext
Ste 102
Boone, NC 28607
Phone (828) 257-2946

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

195 Industrial Pkwy
Lyndonville, VT 05851

1315 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 748-3638

Interoperability endpoints

  • Direct secure messaging: john.scott.1@19849.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1992884456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22730 DIAMOND BAY DR",
            "city": "FRANKSTON",
            "state": "TX",
            "postal_code": "757634020",
            "telephone_number": "732-512-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115076",
            "telephone_number": "802-748-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOHN",
        "middle_name": "GLENN",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA72009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VT",
            "license": "042-0011945",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "59062",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "TM2020-1177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.