Provider Demographics
NPI:1225185192
Name:SCOTT, PATRICIA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:SUITE 702
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-284-8636
Mailing Address - Fax:516-284-8637
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:SUITE 702
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-8636
Practice Address - Fax:516-284-8637
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059511207V00000X
TN46436207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5910512Medicaid
NC2023108Medicare PIN
TN103I167795Medicare PIN