Individual provider Active NPI

Kahari J'Wan Scott, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1609583152
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN260311 Issued in GA
Practice address
1608 Tree LN
Snellville, GA 30078-2399
Phone
(770) 882-0837
NPI assigned
Nov 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN260311 GA Primary

Addresses

Primary practice location

1608 Tree LN
Snellville, GA 30078-2399

Mailing address

1608 Tree LN
Snellville, GA 30078-2399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230703000486 GA Practitioner - Nurse Practitioner 4587023957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Professionals of Georgia, LLCGroup PAC ID 2567731482, 28 clinicians

Practice addresses (Care Compare)

17 Executive Park Dr NE
Suite 450
Atlanta, GA 30329-2220
Phone (404) 470-4333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN260311GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC CurrentSince May 11, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Jul 10, 2023 Accepting new patients

Locations

17 Executive Park Dr NE
Ste 450
Atlanta, GA 30329
Phone (404) 470-4333

1838 Old Norcross Rd
Ste 400
Lawrenceville, GA 30044
Phone (470) 795-7695

1608 Tree Ln
Ste A100
Snellville, GA 30078
Phone (770) 979-7466

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

Interoperability endpoints

  • Direct secure messaging: kahari.scott.1@25899.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1609583152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TREE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TREE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399",
            "telephone_number": "770-882-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KAHARI",
        "middle_name": "J'WAN",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN260311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.