Individual provider Active NPI

Wayne Martin Scott, D.O.

  • Family Medicine Physician
  • Hartwell, GA
National Provider Identifier
1386667152
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
58820 Issued in GA
Practice address
162 Cade St
Suite D
Hartwell, GA 30643
Phone
(706) 856-6970
Fax
(706) 856-6972
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS9604 FL
Family Medicine Physician 207Q00000X 58820 GA Primary

Addresses

Primary practice location

162 Cade St
Suite D
Hartwell, GA 30643

Mailing address

162 Cade St
Suite D
Hartwell, GA 30643
Phone (706) 856-6970

Other identifiers 1

IdentifierTypeStateIssuer
697440072AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150622000885 CA Practitioner - Family Practice 1658475249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9604FLMDFamily Medicine Physician
58820GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-7 Urgent Care Center Medical Group CurrentSince Jul 5, 2017 Accepting new patients
Med-7 Urgent Care Center Medical Group CurrentSince Jul 5, 2017 Accepting new patients

Locations

4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400

701 Sunrise Ave
Roseville, CA 95661
Phone (916) 483-5400

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1386667152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CADE ST",
            "address_2": "SUITE D",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-856-6970",
            "fax_number": "706-856-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CADE ST",
            "address_2": "SUITE D",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-856-6970",
            "fax_number": "706-856-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "WAYNE",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "58820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "697440072A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

Verify at the official NPI Registry.