Individual provider Active NPI

Albert Scott Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Decatur, GA
National Provider Identifier
1306839808
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32293 Issued in GA
Practice address
1458 Church St Ste B
Decatur, GA 30030-1672
Phone
(404) 508-2000
Fax
(404) 508-5560
NPI assigned
Aug 30, 2005
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 32293 GA Primary

Addresses

Primary practice location

1458 Church St Ste B
Decatur, GA 30030-1672

Mailing address

1458 Church St Ste B
Decatur, GA 30030-1672
Phone (404) 376-4155

Other identifiers 2

IdentifierTypeStateIssuer
000403653CMedicaidGA
000403653HMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000647 GA Practitioner - Obstetrics/Gynecology 2668423591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Womens SpecialistsGroup PAC ID 1951398619, 2 clinicians

Practice addresses (Care Compare)

1458 Church St
Suite B
Decatur, GA 30030-1672
Phone (404) 376-4155

8052 Mall Pkwy
Suite 202
Lithonia, GA 30038-2649
Phone (404) 508-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32293GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dekalb Women's Specialists Single Specialty CurrentSince Jan 1, 1996 Accepting new patients
Obhg Georgia, P.C. Single Specialty CurrentSince Jul 3, 2023 Accepting new patients
Southern OB GYN Associates P C Single Specialty CurrentSince Feb 5, 2024 Accepting new patients
Dekalb Women's Specialists Single Specialty Past Accepting new patients
Dekalb Women's Specialists 2 LLC Single Specialty Past Accepting new patients
Dekalb Women's Specialists Single Specialty Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1458 Church St
Ste B
Decatur, GA 30030
Phone (404) 508-2000

2633 N Decatur Rd
Decatur, GA 30033
Phone (404) 508-2000

8052 Mall Pkwy
Ste 202
Lithonia, GA 30038
Phone (404) 508-2000

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9853/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1306839808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 CHURCH ST STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301672",
            "telephone_number": "404-376-4155",
            "fax_number": "404-508-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 CHURCH ST STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301672",
            "telephone_number": "404-508-2000",
            "fax_number": "404-508-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "32293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000403653C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000403653H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.