Individual provider Active NPI

Camille K Scott, D.C.

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1629309554
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR008542 Issued in GA
Practice address
1155 Hammond Dr NE
Suite D 4285
Atlanta, GA 30328-5320
Phone
(770) 552-0857
Fax
(770) 522-9878
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR008542 GA Primary

Addresses

Primary practice location

1155 Hammond Dr NE
Suite D 4285
Atlanta, GA 30328-5320

Mailing address

175 Preston Oaks Dr
Alpharetta, GA 30022-7689
Phone (770) 777-4787

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transit Home Care Consultants, LLC CurrentSince Nov 27, 2022 Accepting new patients
Active Life Health Center L.L.C Past Accepting new patients

Locations

920 Dannon Vw SW
Ste 3103
Atlanta, GA 30331
Phone (404) 549-9471

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": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1629309554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 PRESTON OAKS DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300227689",
            "telephone_number": "770-777-4787",
            "fax_number": "770-777-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 HAMMOND DR NE",
            "address_2": "SUITE D 4285",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285320",
            "telephone_number": "770-552-0857",
            "fax_number": "770-522-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CAMILLE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.