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HEDAYAH SCOON
NPI 1962866392
Family Medicine in Lithonia, GA

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
11007 STONECREST TRL, LITHONIA, GA 30038(678) 720-6759 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Hedayah Scoon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEDAYAH SCOON (NPI 1962866392) is an individual family medicine provider in Lithonia, Georgia, licensed in Georgia (8620) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Newton Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1962866392
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEDAYAH SCOON
Location Address11007 STONECREST TRLLithonia, GA 30038-2512
Mailing Address11007 Stonecrest TrlLithonia, GA 30038-2512 · (678) 720-6759
Phone(678) 720-6759
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 12, 2016
Last NPPES UpdateMay 9, 2019
✔ NPI 1962866392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 8620
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11007 STONECREST TRL, Lithonia, GA 30038
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hedayah Scoon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062706286
PECOS Enrollment IDI20190529002534
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Hedayah Scoon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anemonefish Inpatient Services LLC
16 mi
Internal Medicine
5126 HOSPITAL DR NE
Covington, GA 30014
  • Reassigned Medicare billing, Georgia enrollment
  • 81 clinicians in this Medicare group
NPI 1033514716 (954) 939-5000
Peachtree Immediate Care Fp, LLC
41 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900
Cogent Healthcare Of Macon, LLC
65 mi
Internal Medicine
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 114 clinicians in this Medicare group
NPI 1073564217 (478) 633-7550
Tift Regional Health System, Inc
157 mi
Multi-Specialty
2225 US HIGHWAY 41 N
Tifton, GA 31794
  • Reassigned Medicare billing, Georgia enrollment
  • 380 clinicians in this Medicare group
NPI 1861022329 (229) 391-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
326 services145 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services113 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
168 services163 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Newton Hospital

Acute Care Hospitals · Covington, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110018
Location5126 Hospital Drive NECovington, GA 30014 · Newton County
Emergency services Birthing friendly

Piedmont Rockdale Hospital

Acute Care Hospitals · Conyers, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110091
Location1412 Milstead Avenue, NEConyers, GA 30012 · Rockdale County
Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers42 claims42 services$19.68 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers13 claims13 services$2.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims42 services$106.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hedayah Scoon's NPI number?

The NPI number for Hedayah Scoon is 1962866392. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Hedayah Scoon located?

Hedayah Scoon practices at 11007 Stonecrest Trl, Lithonia, GA 30038. The listed phone number is (678) 720-6759.

What is Hedayah Scoon's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hedayah Scoon enrolled in Medicare?

Yes. Hedayah Scoon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Hedayah Scoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hedayah Scoon reassigns Medicare benefits to 4 organizations: Anemonefish Inpatient Services LLC (Covington, GA), Peachtree Immediate Care Fp, LLC (Hiram, GA), Cogent Healthcare Of Macon, LLC (Macon, GA) and Tift Regional Health System, Inc (Tifton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hedayah Scoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hedayah Scoon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Oscar Health and Oscar Insurance Company list Hedayah Scoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hedayah Scoon affiliated with any hospitals?

According to CMS data, Hedayah Scoon is affiliated with Piedmont Newton Hospital, Piedmont Rockdale Hospital and Navicent Health Baldwin.

When was this NPI record last updated?

The NPPES record for Hedayah Scoon was last updated on May 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.