Suzette Sharlette Scott, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN179096 Issued in GA

Practice address

151 Lake Valley Dr
Loganville, GA 30052-7828

Phone

(770) 605-7022

NPI assigned

Sep 30, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lisa D Miller MD Pediatrics PC

  • Pediatrics Physician
  • Covington, GA
  • NPI 1659352185
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1962839381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LAKE VALLEY DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527828",
            "telephone_number": "770-605-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LAKE VALLEY DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527828",
            "telephone_number": "770-605-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SUZETTE",
        "middle_name": "SHARLETTE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN179096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mendi Michelle Schubert, PT
• Amanda Schultze, LPC, CAMS-II
• Kaitlyn Schwan, RN
• James Dustin Scoggins, PHARMD
• Janet M Scott
• Rachel Scruggs
• Andrea L Seib
• Select Eyecare LLC
• Sharon Sellers, MED, EDS
• Seniors First Quality Home Care LLC

• Pediatric Nurse Practitioner in Loganville, GA
• Providers in Loganville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.