Individual provider Active NPI

Scott P Van Sant, M.D.

  • Psychiatry Physician
  • Milledgeville, GA
National Provider Identifier
1295747731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
039256 Issued in GA
Practice address
620 Broad St
Central State Hospital
Milledgeville, GA 31062-7525
Phone
(478) 445-4128
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 039256 GA Primary

Addresses

Primary practice location

620 Broad St
Central State Hospital
Milledgeville, GA 31062-7525

Mailing address

620 Broad St
Central State Hospital
Milledgeville, GA 31062-7525
Phone (478) 445-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060118000895 GA Practitioner - Psychiatry 2961426879 Reassigns benefits to 1 organization
I20190506001361 MI Practitioner - Psychiatry 2961426879 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Behavioral Health and Developmental Disabilities CurrentSince Jul 1, 2009 Accepting new patients
Au Medical Associates Inc Current Accepting new patients
West Michigan Community Mental Health System CurrentSince Jun 24, 2019 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Apr 3, 2019 Accepting new patients
Department of Behavioral Health & Developmental Disabilities, Ga CurrentSince Jul 1, 2009 Accepting new patients
Copper Country Community Mental Health Services CurrentSince Apr 3, 2019 Accepting new patients
West Michigan Community Mental Health System CurrentSince Jun 24, 2019 Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

3405 Old Savannah Rd
Augusta, GA 30906
Phone (705) 790-2030

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

620 Broad St
Milledgeville, GA 31062
Phone (478) 445-4128

6135 Roosevelt Hwy
Warm Springs, GA 31830
Phone (706) 655-5461

920 Diana St
Ludington, MI 49431
Phone (231) 843-7297

515 Quartz St
Ontonagon, MI 49953
Phone (906) 884-4804

Organizations & group practices 7

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295747731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BROAD ST",
            "address_2": "CENTRAL STATE HOSPITAL",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310627525",
            "telephone_number": "478-445-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BROAD ST",
            "address_2": "CENTRAL STATE HOSPITAL",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310627525",
            "telephone_number": "478-445-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SANT",
        "first_name": "SCOTT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "039256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.