Individual provider Active NPI

Quincy Anne Scarborough, M.D.

  • Family Medicine Physician
  • Middleburg, FL
National Provider Identifier
1003137852
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME115720 Issued in FL
Practice address
1545 Brannan Field Rd
Suite 1
Middleburg, FL 32068-8459
Phone
(904) 450-8575
Fax
(904) 291-3822
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME115720 FL Primary

Addresses

Primary practice location

1545 Brannan Field Rd
Suite 1
Middleburg, FL 32068-8459

Mailing address

1545 Brannan Field Rd
Suite 1
Middleburg, FL 32068-8459
Phone (904) 450-8575

Other names 1

  • Quincy A Griffis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130814000017 FL Practitioner - Family Practice 0345482774 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

810 Lane Ave S
Jacksonville, FL 32205-4785
Phone (904) 783-9680

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
Baptist Primary Care Inc Family Medicine Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients
Baptist Primary Care Inc Family Medicine CurrentSince Jun 1, 2016 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jul 1, 2014 Accepting new patients

Locations

9560 Crosshill Blvd
Ste 110
Jacksonville, FL 32222
Phone (904) 203-1296

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

2627 Riverside Ave
Jacksonville, FL 32204
Phone (904) 308-7372

810 Lane Ave S
Jacksonville, FL 32205
Phone (904) 693-2389

1545 Branan Field Rd
Ste 1
Middleburg, FL 32068
Phone (904) 450-8575

Interoperability endpoints

  • Direct secure messaging: qscarborough28259@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1003137852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 BRANNAN FIELD RD",
            "address_2": "SUITE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-450-8575",
            "fax_number": "904-291-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 BRANNAN FIELD RD",
            "address_2": "SUITE 1",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-450-8575",
            "fax_number": "904-291-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBOROUGH",
        "first_name": "QUINCY",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME115720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUINCY",
            "last_name": "GRIFFIS",
            "middle_name": "A",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.