Active NPI
Michael Scarborough, FNP-C
- Family Nurse Practitioner
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0412159
- Practice address
- 215 Church St Ste 102
Decatur, GA 30030-3330 - Phone
- (404) 445-0350
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
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 | F0412159 | GA | Primary |
Addresses
Primary practice location
215 Church St Ste 102
Decatur, GA 30030-3330
Mailing address
1646 Rockcliff PL SE
Atlanta, GA 30316-4010
Phone (706) 202-6394
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
523 Church St
Decatur, GA 30030-2515
Phone (404) 589-9040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0412159 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Positive Impact Health Centers, Inc. | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients | |
| Positive Impact Health Centers Inc | Current | Accepting new patients | |
| Qmed, LLC | Current | Accepting new patients | |
| Grady Memorial Hospital Corporation | Current | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
80 Jesse Hill Jr Dr SE
#88
Atlanta, GA 30303
Phone (404) 616-0879
341 Ponce de Leon Ave NE
Atlanta, GA 30308
Phone (404) 616-2440
215 Church St
Ste 102
Decatur, GA 30030
Phone (404) 229-6701
523 Church St
Decatur, GA 30030
Phone (404) 589-9040
3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396
3075 Breckinridge Blvd
Ste 415
Duluth, GA 30096
Phone (770) 962-8396
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6123adb2-d0d2-485a-9dcf-5fba87efb2ef/
Organizations & group practices 6
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.
-
- Primary Care Clinic/Center
- Duluth, GA
- NPI 1790861995
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1114243813
-
- Rehabilitation Hospital
- Atlanta, GA
- NPI 1336961119
-
- Multi-Specialty Clinic/Center
- Atlanta, GA
- NPI 1649765686
-
- Community/Retail Pharmacy
- Decatur, GA
- NPI 1912476466
-
- Family Medicine Physician
- Decatur, GA
- NPI 1437899358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600473600000",
"number": "1942569736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1646 ROCKCLIFF PL SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303164010",
"telephone_number": "706-202-6394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CHURCH ST STE 102",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303330",
"telephone_number": "404-445-0350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCARBOROUGH",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2020-09-19",
"certification_date": "2020-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "F0412159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.