Active NPI
Christine R Scott, MD
- Family Medicine Physician
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 075547
- Practice address
- 3550 Preston Ridge Road
Kaiser Permanente Alpharetta Medical Center
Alpharetta, GA 30005 - Phone
- (770) 663-3110
- Fax
- (870) 535-4716
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 Medicine Physician | 207Q00000X | E-3560 | AR | |
| Family Medicine Physician | 207Q00000X | 075547 | GA | Primary |
Addresses
Primary practice location
3550 Preston Ridge Road
Kaiser Permanente Alpharetta Medical Center
Alpharetta, GA 30005
Mailing address
3495 Piedmont Road, NE
Nine Piedmont Center
Atlanta, GA 30305
Phone (404) 504-5678
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149592001 | Medicaid | AR | |
| H77387 | Other | AR | UPIN |
| 5M449 | Other | AR | MEDICARE |
Other names 1
- Christine D Reyes
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Carequality | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-3560 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Southeast Permanente Medical Group | Family Medicine | Current | Accepting new patients |
Locations
3550 Preston Ridge Rd
Alpharetta, GA 30005
Phone (770) 663-3122
3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000
1400 Northside Forsyth Dr
Ste 350
Cumming, GA 30041
Phone (404) 364-4824
1400 Northside Forsyth Dr
Cumming, GA 30041
Phone (678) 517-5645
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1245266956
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644883200000",
"number": "1902861123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3495 PIEDMONT ROAD, NE",
"address_2": "NINE PIEDMONT CENTER",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-504-5678",
"fax_number": "870-535-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 PRESTON RIDGE ROAD",
"address_2": "KAISER PERMANENTE ALPHARETTA MEDICAL CENTER",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-663-3110",
"fax_number": "870-535-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CHRISTINE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2022-02-15",
"certification_date": "2022-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-3560",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "075547",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149592001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "H77387",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "5M449",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Carequality",
"affiliation": "N",
"endpointDescription": "https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1400 Northside Forsyth Dr Ste 350",
"city": "Cumming",
"state": "GA",
"country_code": "US",
"postal_code": "300416018",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "REYES",
"middle_name": "D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.