Individual provider Active NPI

Scott Harrison, DO

  • Internal Medicine Physician
  • Georgetown, KY
National Provider Identifier
1194768044
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2890 Issued in KY
Practice address
122 Cherry Hill Dr
Georgetown, KY 40324-9654
Phone
(502) 570-8502
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2890 KY
Internal Medicine Physician 207R00000X 2890 KY Primary

Addresses

Primary practice location

122 Cherry Hill Dr
Georgetown, KY 40324-9654

Mailing address

122 Cherry Hill Dr
Georgetown, KY 40324-9654
Phone (502) 570-8502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20051010000769 KY Practitioner - Emergency Medicine 6901876366 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2890KYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Nov 1, 2014 Accepting new patients
Continuum Medical PLLC CurrentSince Jun 1, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 16, 2013 Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
Eastern Kentucky Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Baptist Physicians Lexington, Inc Past Accepting new patients
United Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

2700 Old Rosebud Rd
Ste 150
Lexington, KY 40509
Phone (859) 948-9990

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

850 Riverview Ave
Pineville, KY 40977
Phone (606) 337-3051

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

403 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-7042

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1194768044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CHERRY HILL DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249654",
            "telephone_number": "502-570-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CHERRY HILL DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249654",
            "telephone_number": "502-570-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "2890",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "2890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.