DR. ANTHONY SCROGGINS D.P.M. NPI 1205939428

NPI Information

  • NPI: 1205939428
  • Provider Name: DR. ANTHONY SCROGGINS, D.P.M.
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 W WALNUT ST
    SUITE 3B
    JACKSONVILLE, IL
    ZIP 62650
  • Phone: (217) 245-4610

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NPI Details

DR. Anthony Scroggins, D.P.M. is a podiatrist in Jacksonville, IL with 27 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Anthony Scroggins, D.P.M. NPI is 1205939428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1999

The provider's business location address is:

1515 W WALNUT ST
SUITE 3B
JACKSONVILLE, IL
ZIP 62650-150
Phone: (217) 245-4610
Fax: (217) 479-0169

The NPI 1205939428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Trimming of fingernails or toenails (HCPCS:11719)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 9/6/2006 and was last updated on 6/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist016004976ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1240020MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
26186610001MEDICARE NSCILLINOIS
3205038MEDICARE PINILLINOIS
48415027OTHERILLINOISBLUE CROSS BLUE SHIELD
5U81887MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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