Derek Scott

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

910 Dannon VW SW Ste 2201
Atlanta, GA 30331-2156

Phone

(404) 585-1910

NPI assigned

Feb 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1457004038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 DANNON VW SW STE 2201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 DANNON VW SW STE 2201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312156",
            "telephone_number": "404-585-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dscott@tailoredwellness.org",
            "affiliation": "N",
            "endpointDescription": "private practice/mental health services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "910 Dannon Vw SW Ste 2201",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303312156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles Frederick Scott, M.D.
• Chrishina Scott, LPC
• Christine Manning Scott, WHNP
• Constance Lynn Scott, LCSW
• Denise Ann Scott, NP
• Edgar Leonard Scott III, M.D.
• Ericka Danielle Scott
• Erin Michele Cummings Scott, MD
• Ethenia Alicee Scott, C-EM
• Gervonna Scott, MA, LPC

• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.