Active NPI
Traci Petty Scott
- Family Nurse Practitioner
- Columbia, SC
National Provider Identifier
1902714199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 32498
- Practice address
- 9 Richland Medical Park Dr Ste 230
Columbia, SC 29203-6859 - Phone
- (803) 434-7990
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 32498 | SC | Primary |
Addresses
Primary practice location
9 Richland Medical Park Dr Ste 230
Columbia, SC 29203-6859
Mailing address
524 Woodland Dr
Kershaw, SC 29067-1703
Phone (803) 804-9430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1902714199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 WOODLAND DR",
"city": "KERSHAW",
"state": "SC",
"postal_code": "290671703",
"telephone_number": "803-804-9430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RICHLAND MEDICAL PARK DR STE 230",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036859",
"telephone_number": "803-434-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "TRACI",
"middle_name": "PETTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "32498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.