Charlesetta Shelton Scott, M.D.
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Atlanta, GA
NPI 1285752196 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1285752196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- 032472 (GA)
- Practice address
- 317 Woodward Ave SE
Atlanta, GA 30312-2123 - Phone
- (404) 432-1531
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032472 | GA | MD | Child & Adolescent Psychiatry Physician |
| 036.120082 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Counseling Service, Inc | Current |
Accepting new patients | |
| West Cobb Medical Associates, LLC | Past |
Accepting new patients |
Locations
1299 Battlecreek Rd
Ste 100
Jonesboro, GA 30236
Phone (770) 471-0033
Interoperability endpoints
- https://api.platform.athenahealth.com/5606/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036.120082 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 032472 | GA | Yes |
Addresses
Primary practice location
317 Woodward Ave SE
Atlanta, GA 30312-2123
Mailing address
317 Woodward Ave SE
Atlanta, GA 30312-2123
Phone (404) 432-1531
Other names
- Dr. Charlesetta Shelton-Scott
Other providers in Atlanta, GA
- Katharine Elizabeth Shelly
- Jessica Shelnutt
- Shelton Hospitalists Group, LLC
- Shelton Hospitalists Group, LLC
- Shelton R. Moreland LLC
- Antoinique Racquel Shelton
- April Alicia Shelton
- Brandi Shelton
- Connor Shelton
- Courtney D Shelton
All providers in Atlanta, GA · Child & Adolescent Psychiatry Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2012. 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.