Individual provider Active NPI

Chakeeta Scott

  • In Home Supportive Care Agency
  • Hampton, GA
National Provider Identifier
1982376620
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
10803 Spring Creek Dr
Hampton, GA 30228-6315
Phone
(470) 782-7829
Fax
(678) 412-4024
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10803 Spring Creek Dr
Hampton, GA 30228-6315

Mailing address

10803 Spring Creek Dr
Hampton, GA 30228-6315
Phone (470) 782-7829

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL greatworksphc@gmail.com

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Works Private Home Care In Home Supportive Care CurrentSince Feb 19, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1982376620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10803 SPRING CREEK DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286315",
            "telephone_number": "470-782-7829",
            "fax_number": "678-412-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 SPRING CREEK DR",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286315",
            "telephone_number": "470-782-7829",
            "fax_number": "678-412-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CHAKEETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "greatworksphc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "address_1": "10803 Spring Creek Dr",
            "city": "Hampton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302286315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.