Jan Micheal Scott, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9379 Issued in GA

Practice address

1139 Greene St
Augusta, GA 30901-2125

Phone

(706) 721-4288

NPI assigned

Jul 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Michael Scott, DMD, P.C.

  • Dentist
  • Augusta, GA
  • NPI 1154985380
  NPD (past) Authorized official
• Affordable Dentures & Implants - East Augusta, P.C.

  • General Practice Dentistry
  • Augusta, GA
  • NPI 1114507639
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467472027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1139 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012125",
            "telephone_number": "706-721-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 GREENE ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012125",
            "telephone_number": "706-721-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JAN",
        "middle_name": "MICHEAL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZG9379",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Brown Scott, RN
• Djenane Scott, MSW
• Donna J. Scott, DNP, FNP-BC
• Edwin Hughes Scott, MD
• Jamika Scott
• Kathy Scott
• Kneesha Lashay Scott, NP
• Lantisha Scott
• Mary Ann Scraper, PA
• Lynn Caffee Scrivner, MFT

• General Practice Dentistry in Augusta, GA
• Providers in Augusta, GA by specialty
• General Practice Dentistry in Georgia

• 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.

Verify at the official NPI Registry.