| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALBERT SCOTT | 1306839808 | 2024-07-05 |
Albert Scott Jr. MD [M] graduated in 1983 from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and primarily specializes in Obstetrics/gynecology.
Albert Scott is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1306839808. Registration indicates Albert Scott is a provider of access to ob/gyn services with a specialization in Allopathic & Osteopathic Physicians, Obstetrics & Gynecology (Allopathic & Osteopathic Physicians, Obstetrics & Gynecology) (Obstetrics & Gynecology, ) (Specialist Network, ) (Obstetrics & Gynecology, Allopathic & Osteopathic Physicians)
| PECOS ID | 2668423591 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Albert Scott Jr. M.D. |
| Practice Office Address | 1458 CHURCH ST STE B DECATUR, GA US |
| Practice Office Telephone | 4045082000 |
| Practice Office Fax | 4043770550 |
| Mailing Address | 1458 CHURCH ST STE B DECATUR, GA 300301672 US |
| Business Telephone | 4043764155 |
| Business Fax | 4045085560 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5295 Stone Mountain Hwy Ste N | Stone Mountain, GA 300873439 | 4045082000 / 4043770550 |
| 8052 Mall Pkwy Ste 202 | Lithonia, GA 300382649 | 4045082000 / 4043770550 |
| Code | Practice | License No State |
|---|---|---|
| 207V00000X PRIMARY | Access to OB/GYN Allopathic & Osteopathic Physicians Obstetrics & Gynecology Allopathic & Osteopathic Physicians Obstetrics & Gynecology Obstetrics & Gynecology Specialist Network Obstetrics & Gynecology Allopathic & Osteopathic Physicians | 32293
GA |
| 193400000X SING | Group Code |
| 000403653H | MEDICAID | GA | |
| 000403653C | MEDICAID | GA |