NPIMap

Individual provider Active NPI

Jesse B Scott, MD

  • Internal Medicine Physician
  • Claxton, GA
National Provider Identifier
1235213158
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043126 Issued in GA
Practice address
501 E Long St
Claxton, GA 30417-1435
Phone
(912) 739-3354
Fax
(912) 739-3374
NPI assigned
Oct 25, 2006
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 043126 GA Primary

Addresses

Primary practice location

501 E Long St
Claxton, GA 30417-1435

Mailing address

PO Box 217
Claxton, GA 30417-0217
Phone (912) 739-3354

Other identifiers 1

IdentifierTypeStateIssuer
00782845EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040121000605 GA Practitioner - Internal Medicine 5496657470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical GroupGroup PAC ID 7113828609, 7 clinicians

Practice addresses (Care Compare)

501 E Long St
Claxton, GA 30417-1435
Phone (912) 739-3354

601 S Veterans Blvd
Glennville, GA 30427-1775
Phone (912) 739-3354

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Medical Group CurrentSince Oct 1, 1999 Accepting new patients
SMG-Occupational Health Clinic PastSince May 21, 2023 Accepting new patients

Locations

501 E Long St
Claxton, GA 30417
Phone (912) 739-3354

602 E Long St
Claxton, GA 30417
Phone (912) 739-2509

601 S Veterans Blvd
Glennville, GA 30427
Phone (912) 654-0475

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1235213158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304170217",
            "telephone_number": "912-739-3354",
            "fax_number": "912-739-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E LONG ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171435",
            "telephone_number": "912-739-3354",
            "fax_number": "912-739-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JESSE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00782845E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claxton, GA

Sources for this page

Verify at the official NPI Registry.