Individual provider Active NPI

Joyce Elaine Scott, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Celina, TN
National Provider Identifier
1063429546
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
DO 1091 Issued in TN
Practice address
1456 Proctor Creek Rd
Celina, TN 38551-6144
Phone
(931) 243-4312
Fax
(931) 243-4311
NPI assigned
Aug 1, 2006
Last updated
Dec 23, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1091 TN
Geriatric Medicine (Family Medicine) Physician 207QG0300X DO 1091 TN Primary

Addresses

Primary practice location

1456 Proctor Creek Rd
Celina, TN 38551-6144

Mailing address

1456 Proctor Creek Rd
Celina, TN 38551-6144
Phone (931) 243-4312

Other identifiers 2

IdentifierTypeStateIssuer
3091574OtherTNBCBSTN
3284803MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041201000540 TN Practitioner - General Practice 7719942762 Practice locations: Celina, TN

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1456 Proctor Creek Rd
Celina, TN 38551-6144
Phone (931) 243-4312

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1091TNMDClinical Social Worker
DO1091TNMDFamily Medicine Physician
DO 1091TNMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Copeland Medical Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1063429546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 PROCTOR CREEK RD",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385516144",
            "telephone_number": "931-243-4312",
            "fax_number": "931-243-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PROCTOR CREEK RD",
            "city": "CELINA",
            "state": "TN",
            "postal_code": "385516144",
            "telephone_number": "931-243-4312",
            "fax_number": "931-243-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JOYCE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1091",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "DO 1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "3091574",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3284803",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TN

Sources for this page

Verify at the official NPI Registry.