Active NPI
Kelli Cole Scott
- Nurse Practitioner
- Concord, NC
National Provider Identifier
1326813593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SCOT-FXJGA
- Practice address
- 9975 Poplar Tent Rd Ste 200
Concord, NC 28027-9317 - Phone
- (800) 809-1265
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SCOT-FXJGA | NC | Primary |
Addresses
Primary practice location
9975 Poplar Tent Rd Ste 200
Concord, NC 28027-9317
Mailing address
109 Ashton Woods CT
Mount Holly, NC 28120-9482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9975 Poplar Tent Rd
Suite 200
Concord, NC 28027-9304
Phone (800) 809-1265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SCOT-FXJGA | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Infusion Services LLC | Current | Accepting new patients |
Locations
9975 Poplar Tent Rd
Ste 200
Concord, NC 28027
1551 Westbrook Plaza Dr
Ste 100
Winston Salem, NC 27103
Phone (743) 999-7220
Organizations & group practices 1
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": "1700179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1326813593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 ASHTON WOODS CT",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281209482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9975 POPLAR TENT RD STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280279317",
"telephone_number": "800-809-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KELLI",
"middle_name": "COLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-17",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "SCOT-FXJGA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.