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

Mr. Kendall Scott, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1629830740

Mr. Kendall Scott, NURSEPRACTITIONER is a Nurse Practitioner in Atlanta, Georgia. Qualified in 2024, 2 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone: (404) 616-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence NCO-000003 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN299525 (GA)

Record details

NPI number1629830740
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJanuary 24, 2024
Last updated in NPPESJuly 25, 2024
Certification dateJuly 15, 2024
Mailing address80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3050

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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