Individual provider Active NPI

Jelaina Scott, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Lawrenceville, GA
National Provider Identifier
1366975922
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
98887 Issued in GA
Practice address
631 Professional Dr
Lawrenceville, GA 30046-3367
Phone
(770) 995-0630
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 98887 GA
Emergency Medicine Physician 207P00000X 0000059438 TN
Emergency Medicine Physician 207P00000X T8647 TX
Student in an Organized Health Care Education/Training Program 390200000X
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 98887 GA Primary

Addresses

Primary practice location

631 Professional Dr
Lawrenceville, GA 30046-3367

Mailing address

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

Other practice location 1

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

Other practice location 2

3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MO, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20191010002726 TN Practitioner - Emergency Medicine 9234460957 Reassigns benefits to 2 organizations
I20210519000588 MO Practitioner - Emergency Medicine 9234460957 Reassigns benefits to 2 organizations
I20240329001824 GA Practitioner - Emergency Medicine 9234460957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Pulmonary GroupGroup PAC ID 1153317615, 17 clinicians
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

631 Professional Dr
Suite 350
Lawrenceville, GA 30046-3370
Phone 7709950630135

677 Church Nest
Marietta, GA 30060-1101
Phone (770) 793-5000

Hospital & facility affiliations

  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Northside Hospital Duluth Hospital, Duluth, GA, CCN 110252

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98887GAMDEmergency Medicine Physician
0000059438TNMDEmergency Medicine Physician
T8647TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee River Physicians, PLLC Emergency Medicine Current Accepting new patients
North Fulton Emergency Physicians, LLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Feb 14, 2024 Accepting new patients
Gwinnett Pulmonary Group CurrentSince Aug 1, 2025 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince May 3, 2021 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince May 3, 2021 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 22, 2022 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 22, 2022 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

3620 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 312-3294

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

631 Professional Dr
Lawrenceville, GA 30046
Phone (678) 204-4000

631 Professional Dr
Ste 350
Lawrenceville, GA 30046
Phone (770) 995-0630

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1366975922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 HOWELL FERRY RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963178",
            "telephone_number": "678-312-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3950 Austell Rd",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301061121",
            "country_code": "US",
            "telephone_number": "770-732-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Howell Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300963178",
            "country_code": "US",
            "telephone_number": "678-312-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JELAINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "98887",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "0000059438",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "T8647",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "GA",
            "license": "98887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.