Kevin Tyler Scott, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1371 Issued in TN

Practice address

2782 N Highland Ave
Ste C
Jackson, TN 38305-1797

Phone

(731) 664-5354

Fax

(731) 664-5305

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Diabetes Center of Jackson, PLLC

  • Family Nurse Practitioner
  • Jackson, TN
  • NPI 1003315524
  NPD (past)
• Greystone Medical Clinic, P.C.

  • Acute Care Nurse Practitioner
  • Jackson, TN
  • NPI 1770519530
  NPD (past)
• Williams & Williams Chiropractic Clinic

  • Chiropractor
  • Jackson, TN
  • NPI 1245441963
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1922004688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 N HIGHLAND AVE",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051797",
            "telephone_number": "731-664-5354",
            "fax_number": "731-664-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 N HIGHLAND AVE",
            "address_2": "STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051797",
            "telephone_number": "731-664-5354",
            "fax_number": "731-664-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KEVIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5386529",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4021590",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3679657",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chalene Michelle Scott
• Debra Ann Scott
• Elizabeth Anne Scott, DO
• Hunter Scott
• Jeffery A Scott, MD
• Mary L Scott, M.D.
• Michelle N Scott, APN
• Misty Scott, CSFA
• Robert Keith Scott, CRNA
• Whitney Elaine Scott, MD

• Chiropractor in Jackson, TN
• Providers in Jackson, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.