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NPI Code Detail

MEDICARE: CHAD C SCOTT FNP MSN

MEDICARE:   CHAD C SCOTT  FNP MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician7743TN
2207Q00000XFamily Medicine PhysicianRN118564TN
3207Q00000XFamily Medicine Physician7743TN
4207R00000XInternal Medicine Physician7743TN
5363LF0000XFamily Nurse Practitioner7743TN
6208000000XPediatrics Physician7743TN
7208100000XPhysical Medicine & Rehabilitation Physician7743TN
82085R0202XDiagnostic Radiology Physician7743TN
9208600000XSurgery Physician7743TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
144002OTHERTNTLC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
356826600OTHERTNUS DEPT OF LABOR
44190376OTHERTNBCBS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134116205
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD C SCOTT FNP MSN
Provider Business Mailing Address
First Line : 200 W CHURCH ST
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-2038
Country : US
Telephone Number : 731-968-3646
Fax Number : 731-968-1807
Provider Business Practice Location Address
First Line : 200 W CHURCH ST
Second Line :
City : LEXINGTON
State : TN
Zip : 38351-2038
Country : US
Telephone Number : 731-968-3646
Fax Number : 731-968-1807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 06/14/2024

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1104890201 — ROBERT L WINSTON M.D.
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1730156423 — ERIC R TELFER M.D.
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38351-2038
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Directions to “ CHAD C SCOTT FNP MSN” Practice Location

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