Edgar Leonard Scott III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

49608 Issued in GA

Practice address

254 Peachtree St SW
Atlanta, GA 30303-3731

Phone

(404) 865-8001

NPI assigned

Jun 18, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Prime Immediate Care LLC

  • Urgent Care Clinic/Center
  • Douglasville, GA
  • NPI 1396924635
  NPD (past)
• TMC Immediate Care, Inc

  dba Tanner Urgent Care

  • Urgent Care Clinic/Center
  • Villa Rica, GA
  • NPI 1386708097
  NPD (past)

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1619316106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PEACHTREE ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033731",
            "telephone_number": "404-625-9098",
            "fax_number": "404-344-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 PEACHTREE ST SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033731",
            "telephone_number": "404-865-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EDGAR",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "49608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrishina Scott, LPC
• Christine Manning Scott, WHNP
• Constance Lynn Scott, LCSW
• Denise Ann Scott, NP
• Derek Scott
• Ericka Danielle Scott
• Erin Michele Cummings Scott, MD
• Ethenia Alicee Scott, C-EM
• Gervonna Scott, MA, LPC
• Gregory Scott

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.