Ronald Bradley Scott (NPI# 1790751469, PAC ID# 8123185709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1790751469 |
| PAC ID by PECOS | 8123185709 |
| Professional Enrollment ID | I20090326000045 |
| Full Name | Ronald Bradley Scott |
| Organization Legal Name | CREEKMORE CLINIC, P.L.L.C. |
| Address |
216 Oxford Rd New Albany MS 38652-3115 |
| Phone Number | 6625349042 |
| Gender | M |
| Medical School | KANSAS CITY HOMEOPATHIC MEDICAL COLLEGE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1052506961 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250006 | BAPTIST MEMORIAL HOSPITAL UNION COUNTY |
| 251337 | TIPPAH COUNTY HOSPITAL |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 250034 | BAPTIST MEMORIAL HOSPITAL NORTH MS |
| 251308 | PONTOTOC HEALTH SERVICE INC CAH |
| Address | Phone | Organization |
|---|---|---|
| 216 Oxford Rd, New Albany, MS 38652-3115 | 6625349042 | CREEKMORE CLINIC, P.L.L.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | CREEKMORE CLINIC, P.L.L.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey Ott Davis | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Correal J Garrison | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Samuel J Creekmore Iii | Family Medicine | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Lyndie C Scott | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Heaven A Robbins | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Street Address |
216 OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip | 38652-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey Ott Davis | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Correal J Garrison | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Samuel J Creekmore Iii | Family Medicine | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Lyndie C Scott | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Heaven A Robbins | Nurse Practitioner | Creekmore Clinic, P.l.l.c. | 216 Oxford Rd, New Albany, MS 38652-3115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph E Williams | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Keith Russell | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Justin R Lohmeier | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Jeffrey R Orear | Diagnostic Radiology | Radiology Physicians of New Albany Pllc | 200 Hwy 30 W, New Albany, MS 38652 |
| Robert E Barnett | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Megan Hooker | Nurse Practitioner | Megmed Health | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| Leody C Bautista | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Carly Lonna Boyd | Nurse Practitioner | Megmed Health | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| William Eric Frohn | Obstetrics/gynecology | Advanced Obstetrics and Gynecology PC | 236 Starlyn Ave, New Albany, MS 38652-2428 |
| Tyrongilia Q Walton | Nurse Practitioner | Walton Family Care Clinic, LLC | 228 Starlyn Ave, New Albany, MS 38652-2428 |
| Find all physicians in zip 38652 | |||
| City | NEW ALBANY |
| Zip Code | 38652 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NEW ALBANY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ronald Bradley Scott.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.