Individual provider Active NPI

Sherrie Elizabeth Smith-Scott, DDS

  • General Practice Dentistry
  • Morrow, GA
National Provider Identifier
1922158625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011222 Issued in GA
Practice address
1483 John Robert Dr
Suite B
Morrow, GA 30260-1772
Phone
(770) 961-8300
Fax
(770) 961-5040
NPI assigned
Jan 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN011222 GA Primary

Addresses

Primary practice location

1483 John Robert Dr
Suite B
Morrow, GA 30260-1772

Mailing address

1483 John Robert Dr
Suite B
Morrow, GA 30260-1772
Phone (770) 961-8300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160303001144 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294031175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN011222GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Spelios and Associates Morrow PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922158625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 JOHN ROBERT DR",
            "address_2": "SUITE B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601772",
            "telephone_number": "770-961-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 JOHN ROBERT DR",
            "address_2": "SUITE B",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601772",
            "telephone_number": "770-961-8300",
            "fax_number": "770-961-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-SCOTT",
        "first_name": "SHERRIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.