Healthcare Provider Details

I. General information

NPI: 1184325037
Provider Name (Legal Business Name): CARA SCOTT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2023
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 SALUDA ST
ROCK HILL SC
29730-6225
US

IV. Provider business mailing address

421 FAYETTEVILLE ST STE 1100
RALEIGH NC
27601-3000
US

V. Phone/Fax

Practice location:
  • Phone: 803-325-8742
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number5017834
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: