Organization Active NPI

Charles F Scott MD PC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1710289632
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02884 Issued in GA
Legal business name
CHARLES F SCOTT MD PC
Practice address
2812 Spring Rd SE
Suite 200
Atlanta, GA 30339-3037
Phone
(770) 431-8511
Fax
(770) 431-8411
NPI assigned
Nov 29, 2010
Last updated
Nov 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Authorized official

Name
Charles Frederick Scott, MDNPI 1063540110
Title
Medical Doctor
Phone
(770) 431-8511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 02884 GA Primary

Addresses

Primary practice location

2812 Spring Rd SE
Suite 200
Atlanta, GA 30339-3037

Mailing address

4279 Roswell Rd
Suite 254
Atlanta, GA 30342-3769
Phone (770) 431-8511

Other identifiers 1

IdentifierTypeStateIssuer
000350952BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2812 Spring Rd SE
Ste 200
Atlanta, GA 30339
Phone (770) 431-8411

4279 Roswell Rd NE
Ste 254
Atlanta, GA 30342

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1710289632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4279 ROSWELL RD",
            "address_2": "SUITE 254",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423769",
            "telephone_number": "770-431-8511",
            "fax_number": "770-431-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 SPRING RD SE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393037",
            "telephone_number": "770-431-8511",
            "fax_number": "770-431-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES F SCOTT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "770-431-8511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "02884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000350952B",
            "state": "GA"
        }
    ],
    "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 Nov 29, 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.