Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob Andrew Scott, CRNP

Individual provider Registered Nurse · NPI 1801314356

Mr. Jacob Andrew Scott, CRNP is a Nurse Practitioner in Athens, Alabama. Qualified in 2019, 7 years ago. Practices with Revival Psychiatry, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alabama and Colorado.

Years since qualifying
7
Licensed in
AL, CO
In the registry since
2017
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

15884 E Limestone Rd
Athens, AL 35613-7522
Phone: (125) 644-4451
Fax: (256) 444-2797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 1-148777 (AL)
Registered Nurse Taxonomy 163W00000X · Licence RN.1637541 (CO)

Record details

NPI number1801314356
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Revival Psychiatry — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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