The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-11

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NUCC Taxonomy Code: 320600000X

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location March 11, 2026

Registered at 109 HAAG DR, WARNER ROBINS, GA 31093 (Tel: 3053546470)

📍

Updated Business Mailing Address March 11, 2026

Registered at 858 WYNBROKE PARKWAY, STONE MOUNTAIN, GA 30087 (Tel: 3053546470)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2026

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

✅

NPI Profile Active September 19, 2017

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) September 19, 2017

Registered at 4840 W PARK CIR, ATLANTA, GA 303492049 (Tel: (305) 354-6470)

📍

Business Mailing Address (Initial Record) September 19, 2017

Registered at 4840 W PARK CIR, ATLANTA, GA 303492049 (Tel: 3053546470)

👤

Provider Name / Credentials (Initial Record) September 19, 2017

Recorded as SHIRLEY SCOTT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2017

Counselor

🟢

Initial NPI Registration & Enumeration September 19, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568981751

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 19, 2017

Last Update: March 11, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

858 Wynbroke Parkway

Stone Mountain, GA 30087

Phone: 3053546470

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.