Active NPI
Tracy A Scott, FNP-C
- Nurse Practitioner
- Byhalia, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 902026
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005802361 | Medicaid | MS |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 902026 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Addiction Campuses of Mississippi, LLC | Past | Accepting new patients | |
| Addiction Campuses Professional Services of Mississippi, LLC | Past | 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
- https://api.platform.athenahealth.com/22832/brand/1/csg/1/fhir/r4
- t.scotthfm@hfm-ms.direct.office.nextgen.com
- 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.
-
- Family Nurse Practitioner
- Holly Springs, MS
- NPI 1376188391
-
dba Sluder Medical Clinic, LLC
- Family Nurse Practitioner
- Senatobia, MS
- NPI 1740350628
-
- Family Nurse Practitioner
- Holly Springs, MS
- NPI 1518692342
-
dba Woodland Recovery Center
- Substance Abuse Rehabilitation Facility
- Southaven, MS
- NPI 1356703524
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Southaven, MS
- NPI 1659990075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
-
- General Acute Care Hospital
- Olive Branch, MS
- NPI 1912341439
-
- General Acute Care Hospital
- Indianola, MS
- NPI 1184679292
-
dba AccentCare Home Health of Greenwood
- Home Health Agency
- Greenwood, MS
- NPI 1235270588
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.