Individual provider Active NPI

Hedayah Scoon

  • Family Medicine Physician
  • Lithonia, GA
National Provider Identifier
1962866392
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8620 Issued in GA
Practice address
11007 Stonecrest TRL
Lithonia, GA 30038-2512
Phone
(678) 720-6759
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8620 GA Primary

Addresses

Primary practice location

11007 Stonecrest TRL
Lithonia, GA 30038-2512

Mailing address

11007 Stonecrest TRL
Lithonia, GA 30038-2512
Phone (678) 720-6759

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190529002534 GA Practitioner - Family Practice 2062706286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
Anemonefish Inpatient Services LLCGroup PAC ID 7012236664, 33 clinicians

Practice addresses (Care Compare)

1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
Phone (770) 461-3776

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8620GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anemonefish Inpatient Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Cogent Healthcare of Macon, LLC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Tift Regional Health System Inc CurrentSince Jun 28, 2023 Accepting new patients
Tift Regional Health System Inc Family Medicine Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Jun 28, 2023 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Aug 20, 2021 Accepting new patients
Navicent Health Baldwin, Inc Past Accepting new patients
Piedmont Newton Hospital, Inc. Past Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

720 Transit Ave
Ste 101
Canton, GA 30114
Phone (770) 720-7000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

777 Hemlock St
#104
Macon, GA 31201
Phone (478) 633-7550

371 Newnan Crossing Byp
Ste 103
Newnan, GA 30265
Phone (770) 400-8410

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

Interoperability endpoints

  • Direct secure messaging: hscoon433741@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1962866392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 STONECREST TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382512",
            "telephone_number": "678-720-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11007 STONECREST TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382512",
            "telephone_number": "678-720-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOON",
        "first_name": "HEDAYAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "8620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

Verify at the official NPI Registry.