Individual provider Active NPI

Tracy A Scott, FNP-C

  • Nurse Practitioner
  • Byhalia, MS
National Provider Identifier
1760921696
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
902026 Issued in MS
Practice address
131 Hwy 309 S
Byhalia, MS 38611-9633
Phone
(662) 838-5565
Fax
(662) 838-4770
NPI assigned
Feb 13, 2017
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902026 MS
Nurse Practitioner 363L00000X 902026 MS Primary

Addresses

Primary practice location

131 Hwy 309 S
Byhalia, MS 38611-9633

Mailing address

131 Highway 309 South
Byhalia, MS 38611-9633
Phone (662) 838-5565

Other practice location 1

4840 Fulton Rd
Hernando, MS 38632-9573
Phone (662) 671-0641

Other practice location 2

340 Stateline Rd W
Southaven, MS 38671-1610
Phone (662) 510-5387 ext. 142

Other identifiers 1

IdentifierTypeStateIssuer
005802361MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20171226000696 MS Practitioner - Nurse Practitioner 8628336518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Family MedicalGroup PAC ID 1355770165, 2 clinicians

Practice addresses (Care Compare)

131 Hwy 309 S
Byhalia, MS 38611-9633
Phone (662) 838-5565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902026MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Family Medical Clinic, LLC Family Current Accepting new patients
Holly Springs Family Medical LLC Family Current Accepting new patients
Heartland Family Medical Family CurrentSince Oct 25, 2019 Accepting new patients
Addiction Campuses of Mississippi, LLC PastSince Jun 28, 2020 Accepting new patients
Addiction Campuses Professional Services of Mississippi, LLC PastSince Apr 19, 2020 Accepting new patients

Locations

131 Highway 309 S
Byhalia, MS 38611
Phone (662) 383-5565

130 W Van Dorn Ave
Holly Springs, MS 38635
Phone (662) 252-3323

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22832/brand/1/csg/1/fhir/r4
  • Direct secure messaging: t.scotthfm@hfm-ms.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1760921696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HIGHWAY 309 SOUTH",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386119633",
            "telephone_number": "662-838-5565",
            "fax_number": "662-838-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 HWY 309 S",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386119633",
            "telephone_number": "662-838-5565",
            "fax_number": "662-838-4770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4840 Fulton Rd",
            "address_purpose": "LOCATION",
            "city": "Hernando",
            "state": "MS",
            "postal_code": "386329573",
            "country_code": "US",
            "telephone_number": "662-671-0641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "340 Stateline Rd W",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386711610",
            "country_code": "US",
            "telephone_number": "662-510-5387 x142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "TRACY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902026",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "902026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005802361",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Byhalia, MS

Sources for this page

Verify at the official NPI Registry.