Active NPI
Scott Hearn, PAC
- Physician Assistant
- Smyrna, GA
National Provider Identifier
1205852969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003375
- Practice address
- 3949 S Cobb Dr SE
Smyrna, GA 30080-6342 - Phone
- (770) 438-5222
- Fax
- (770) 434-5123
- NPI assigned
- Jul 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003375 | GA | Primary |
Addresses
Primary practice location
3949 S Cobb Dr SE
Smyrna, GA 30080-6342
Mailing address
5896 Rosie LN SE
Mableton, GA 30126-2725
Phone (770) 941-7716
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Emergency Services, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Newnan, GA
- NPI 1245556588
-
- Emergency Medical Services (Emergency Medicine) Physician
- Atlanta, GA
- NPI 1992754717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205852969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5896 ROSIE LN SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262725",
"telephone_number": "770-941-7716",
"fax_number": "727-507-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3949 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806342",
"telephone_number": "770-438-5222",
"fax_number": "770-434-5123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "SCOTT",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.