Individual provider Active NPI

Scott S Jones, PHD

  • Clinical Psychologist
  • Columbus, GA
National Provider Identifier
1366619165
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
009065 Issued in GA
Practice address
1661 13TH St
Suite 102
Columbus, GA 31901-3840
Phone
(706) 324-2050
Fax
(706) 324-2088
NPI assigned
May 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 009065 GA Primary

Addresses

Primary practice location

1661 13TH St
Suite 102
Columbus, GA 31901-3840

Mailing address

1661 13TH St
Suite 102
Columbus, GA 31901-3840
Phone (706) 324-2050

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000543 GA Practitioner - Clinical Psychologist 6800965823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Mississippi School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

88 Marglo Cir
Ellerslie, GA 31807-5504
Phone (706) 324-2050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009065GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott S Jones PHD PC Clinical CurrentSince Jul 1, 1990 Accepting new patients

Locations

1661 13th St
Ste 102
Columbus, GA 31901
Phone (706) 322-7911

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": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1366619165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 13TH ST",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013840",
            "telephone_number": "706-324-2050",
            "fax_number": "706-324-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 13TH ST",
            "address_2": "SUITE 102",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013840",
            "telephone_number": "706-324-2050",
            "fax_number": "706-324-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SCOTT",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.