Active NPI
Scott Medical Consultants
- Physical Medicine & Rehabilitation Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 077308
- Legal business name
- SCOTT MEDICAL CONSULTANTS
- Practice address
- 2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406 - Phone
- (678) 552-6294
- NPI assigned
- Feb 16, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek S Scott, M.D.
- Title
- Owner
- Phone
- (678) 552-6294
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 077308 | GA | Primary |
Addresses
Primary practice location
2101 Newnan Crossing Blvd E
Newnan, GA 30265-2406
Mailing address
980 Birmingham Rd Ste 501-403
Milton, GA 30004-4417
Phone (678) 552-6294
Other practice location 1
557 Riverstone Pkwy Ste 140
Canton, GA 30114-5223
Phone (678) 552-6294
Other practice location 2
1165 Sanders Rd
Cumming, GA 30041-5965
Phone (678) 552-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553
3645 Marketplace Blvd
Ste 130692
East Point, GA 30344
980 Birmingham Rd
Ste 501403
Milton, GA 30004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Newnan, GA
- NPI 1740377100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623283200000",
"number": "1205375896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 BIRMINGHAM RD STE 501-403",
"city": "MILTON",
"state": "GA",
"postal_code": "300044417",
"telephone_number": "678-552-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 NEWNAN CROSSING BLVD E",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302652406",
"telephone_number": "678-552-6294"
}
],
"practiceLocations": [
{
"address_1": "557 Riverstone Pkwy Ste 140",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "GA",
"postal_code": "301145223",
"country_code": "US",
"telephone_number": "678-552-6294",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1165 Sanders Rd",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300415965",
"country_code": "US",
"telephone_number": "678-552-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SCOTT MEDICAL CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-16",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-552-6294",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "077308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.