Active NPI
Shemal Bloom Scott, MD
- Family Medicine Physician
- Columbus, GA
National Provider Identifier
1457445405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 051892
- Practice address
- 4231 Macon Rd
Emmanuel Health Clinic
Columbus, GA 31907 - Phone
- (706) 568-6120
- Fax
- (706) 568-6220
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 051892 | GA | Primary |
Addresses
Primary practice location
4231 Macon Rd
Emmanuel Health Clinic
Columbus, GA 31907
Mailing address
4231 Macon Rd
Columbus, GA 31907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52009202005 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmanuel Health Clinic | Family Medicine | Past | Accepting new patients |
| Valley Healthcare System | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Columbus, GA
- NPI 1396942942
-
- Federally Qualified Health Center (FQHC)
- Columbus, GA
- NPI 1851924377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457445405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4231 MACON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 MACON RD",
"address_2": "EMMANUEL HEALTH CLINIC",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "31907",
"telephone_number": "706-568-6120",
"fax_number": "706-568-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SHEMAL",
"middle_name": "BLOOM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "051892",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "52009202005",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.