Raymond Selwyn Scott, CAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0853 Issued in GA

Practice address

326 Myrtle Crossing Dr Ste 300
Statesboro, GA 30458-4429

Phone

(912) 243-9310

Fax

(912) 243-9311

NPI assigned

Nov 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Transformations of Statesboro LLC

  • Addiction (Substance Use Disorder) Counselor
  • Statesboro, GA
  • NPI 1518436179

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1023587706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 MYRTLE CROSSING DR STE 300",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584429",
            "telephone_number": "912-243-9310",
            "fax_number": "912-243-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 MYRTLE CROSSING DR STE 300",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584429",
            "telephone_number": "912-243-9310",
            "fax_number": "912-243-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RAYMOND",
        "middle_name": "SELWYN",
        "credential": "CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA ADDICTIONS COUNSELOR ASSOCIATION",
            "identifier": "0853",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April D Scott, OT
• Carl Alan Scott, MD
• I-Sa Ni-Kole Scott
• Janet Kathleen Scott, LPC
• Lee Ann Scott, PH.D.
• Seed Wellness
• Self-Soulstice, LLC
• Kyle Sellers
• Brandon Robert Selph, PHARM D
• Serenity Springs Personal Care Home Inc.

• All providers in Statesboro, GA
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; 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.