Tyrek S Scott
Individual provider Active NPI Adult Day Care Clinic/Center · Louisville, GA
NPI 1174483689 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1174483689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Day Care Clinic/Center 261QA0600X
- Practice address
- 212 Green Meadows CT
Louisville, GA 30434 - Phone
- (478) 206-5172
- NPI assigned
- Nov 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | GA | Yes |
Addresses
Primary practice location
212 Green Meadows CT
Louisville, GA 30434
Mailing address
212 Green Meadows CT
Louisville, GA 30434
Phone (478) 206-5172
Other names
- Mrs. Victoria A Burley
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All providers in Louisville, GA · Adult Day Care Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.