NPIMap

Organization Active NPI

Scott a. Brown DDS PC

  • General Practice Dentistry
  • McDonough, GA
National Provider Identifier
1407968506
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10476 Issued in GA
Legal business name
SCOTT A. BROWN DDS PC
Practice address
2093 Jonesboro Rd
McDonough, GA 30253-5993
Phone
(770) 898-2066
Fax
(770) 898-8893
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Scott A Brown, D.D.S.NPI 1316264518
Title
Owner/ Dentist
Phone
(770) 898-2066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10476 GA Primary

Addresses

Primary practice location

2093 Jonesboro Rd
McDonough, GA 30253-5993

Mailing address

2093 Jonesboro Rd
McDonough, GA 30253-5993
Phone (770) 898-2066

Other identifiers 4

IdentifierTypeStateIssuer
00343967AMedicaidGA
00343967BMedicaidGA
0112281OtherGABCBS OF TENNESSEE PROVIDE
611327OtherGAUNITED CONCORDIA PROVIDER

National Provider Directory

National Provider Directory

Locations

2093 Jonesboro Rd
McDonough, GA 30253
Phone (770) 898-2066

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1407968506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2093 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535993",
            "telephone_number": "770-898-2066",
            "fax_number": "770-898-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2093 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535993",
            "telephone_number": "770-898-2066",
            "fax_number": "770-898-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. BROWN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "770-898-2066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343967A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00343967B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE PROVIDE",
            "identifier": "0112281",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "611327",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.