Individual provider Active NPI

Elise Stephenson Scott, M.D.

  • Psychiatry Physician
  • Nashville, TN
National Provider Identifier
1417482449
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
62235 Issued in TN
Practice address
210 25TH Ave N Ste 700
Nashville, TN 37203-1611
Phone
(615) 819-4613
Fax
(615) 235-1327
NPI assigned
Apr 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 62235 TN Primary

Addresses

Primary practice location

210 25TH Ave N Ste 700
Nashville, TN 37203-1611

Mailing address

4101 Idaho Ave
Nashville, TN 37209-3678
Phone (615) 819-4613

Other practice location 1

5214 Maryland Way Ste 207
Brentwood, TN 37027-5071
Phone (615) 819-4613

Other names 1

  • Dr. Elise Michelle Stephenson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 28, 2024 through Mar 28, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62235TNMDPsychiatry Physician
859GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elise Scott MD PLLC Single Specialty CurrentSince Mar 24, 2025 Accepting new patients

Locations

104 Eastpark Dr
Ste 300
Brentwood, TN 37027
Phone (615) 239-5151

5214 Maryland Way
Ste 207
Brentwood, TN 37027
Phone (615) 510-3797

210 25th Ave N
Ste 700
Nashville, TN 37203
Phone (615) 258-7765

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1417482449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 IDAHO AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093678",
            "telephone_number": "615-819-4613",
            "fax_number": "615-235-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 25TH AVE N STE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031611",
            "telephone_number": "615-819-4613",
            "fax_number": "615-235-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5214 Maryland Way Ste 207",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275071",
            "country_code": "US",
            "telephone_number": "615-819-4613",
            "fax_number": "615-235-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ELISE",
        "middle_name": "STEPHENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "62235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "STEPHENSON",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.