Individual provider Active NPI

Tia Scott, WHNP-BC, FNP-C

  • Women's Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1487943460
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN184461 Issued in GA
Practice address
1264 Wesley Dr Ste 402
Memphis, TN 38116-6447
Phone
(901) 396-5577
Fax
(901) 396-6538
NPI assigned
Mar 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN184461 GA Primary
Women's Health Nurse Practitioner 363LW0102X RN0000155509 TN

Addresses

Primary practice location

1264 Wesley Dr Ste 402
Memphis, TN 38116-6447

Mailing address

1240 Spring Meadows Dr
Ringgold, GA 30736-8964
Phone (901) 355-9153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210408000137 TN Practitioner - Nurse Practitioner 8527475680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1785 Nonconnah Blvd
Suite 108
Memphis, TN 38132-2139
Phone (901) 344-0101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14682TNMDSocial Worker
RN184461GAMDWomen's Health Nurse Practitioner
RN0000155509TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Mar 10, 2021 Accepting new patients
OB GYN Centers of Memphis,Mpllc CurrentSince Feb 11, 2024 Accepting new patients
Memphis Health Center, Inc. CurrentSince Mar 10, 2021 Accepting new patients
Dekalb-Gwinnett OB/GYN PC Past Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

1264 Wesley Dr
Ste 402
Memphis, TN 38116
Phone (901) 396-5577

4593 Elvis Presley Blvd
Ste 101
Memphis, TN 38116
Phone (901) 261-2000

Interoperability endpoints

  • Direct secure messaging: tia.scott.2@20250.direct.athenahealth.com

Organizations & group practices 4

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": "1301443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1487943460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 SPRING MEADOWS DR",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307368964",
            "telephone_number": "901-355-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 WESLEY DR STE 402",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381166447",
            "telephone_number": "901-396-5577",
            "fax_number": "901-396-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TIA",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN184461",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TN",
            "license": "RN0000155509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.