Individual provider Active NPI

Scott R Wottrich, MD

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1083675797
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
048318 Issued in GA
Practice address
790 Church St NE
Ste 400
Marietta, GA 30060-7282
Phone
(770) 952-8899
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 048318 GA Primary

Addresses

Primary practice location

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 952-8899

Other identifiers 1

IdentifierTypeStateIssuer
810441211MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040601000807 GA Practitioner - Diagnostic Radiology 0840196655 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians

Practice addresses (Care Compare)

1625 Hospital N Dr
Suite 150
Austell, GA 30106-8111
Phone (770) 944-0466

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

60 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 793-7800

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000

Hospital & facility affiliations

  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048318GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Jul 1, 2004 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jun 26, 2018 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Mar 19, 2018 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 1, 2016 Accepting new patients
Pro Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Diagnostic Systems Inc Diagnostic Radiology PastSince Feb 18, 2019 Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations (25 of 60)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

144 Bill Carruth Pkwy
Hiram, GA 30141

1120 Wellstar Way
Holly Springs, GA 30114

3980 Jiles Rd NW
Kennesaw, GA 30144
Phone (678) 504-0100

1550 Kennesaw Due West Rd NW
Kennesaw, GA 30152
Phone (770) 423-9525

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1083675797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "770-952-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-952-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTTRICH",
        "first_name": "SCOTT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "048318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810441211",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.