Individual provider Active NPI

Scott Alan Sherwin, M.S.C.M.

  • Counselor
  • Cartersville, GA
National Provider Identifier
1679800015
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
20 Douglas St
Cartersville, GA 30120-3222
Phone
(678) 721-5922
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Behavior Analyst 103K00000X

Addresses

Primary practice location

20 Douglas St
Cartersville, GA 30120-3222

Mailing address

20 Douglas St
Cartersville, GA 30120-3222
Phone (678) 721-5922

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1679800015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DOUGLAS ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203222",
            "telephone_number": "678-721-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DOUGLAS ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203222",
            "telephone_number": "678-721-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERWIN",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "credential": "M.S.C.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.