Active NPI
Scott Randall Arrowsmith, MD
- Orthopaedic Surgery Physician
- Fayetteville, GA
National Provider Identifier
1962407973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 018359
- Practice address
- 130 Governors SQ
Ste C
Fayetteville, GA 30215-4862 - Phone
- (770) 631-9991
- Fax
- (770) 631-3663
- NPI assigned
- Jun 16, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 018359 | GA | Primary |
Addresses
Primary practice location
130 Governors SQ
Ste C
Fayetteville, GA 30215-4862
Mailing address
130 Governors SQ
Ste C
Fayetteville, GA 30215-4862
Phone (770) 631-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00300528A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018359 | GA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962407973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 GOVERNORS SQ",
"address_2": "STE C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302154862",
"telephone_number": "770-631-9991",
"fax_number": "770-631-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 GOVERNORS SQ",
"address_2": "STE C",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302154862",
"telephone_number": "770-631-9991",
"fax_number": "770-631-3663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARROWSMITH",
"first_name": "SCOTT",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "018359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00300528A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.