Active NPI
Scott Cameron McLaurin, PA-C
- Medical Physician Assistant
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 65506
- Practice address
- 500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964 - Phone
- (813) 654-2445
- Fax
- (813) 654-9885
- NPI assigned
- Oct 13, 2009
- Last updated
- Dec 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9105141 | FL | |
| Medical Physician Assistant | 363AM0700X | 65506 | CA | Primary |
Addresses
Primary practice location
500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964
Mailing address
500 Vonderburg Dr
Suite 311 West
Brandon, FL 33511-5964
Phone (813) 654-2445
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
135 E 1St St
Palm Medical Center Lakeland LLC
Lakeland, FL 33805-4609
Phone (863) 686-2728
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65506 | CA | MD | Pharmacist |
| PA9105141 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Health Centers | Current | Accepting new patients | |
| Palm Medical Center Lakeland LLC | Current | Accepting new patients | |
| Golden Valley Health Center | Current | Accepting new patients | |
| Palm Medical Centers | Current | Accepting new patients |
Locations
1910 Customer Care Way
Atwater, CA 95301
Phone (209) 384-6488
1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111
13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900
821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481
250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120
3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104
797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871
847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441
1114 6th St
Modesto, CA 95354
Phone (209) 576-2845
1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488
1500 Florida Ave
Modesto, CA 95350
Phone (209) 571-5071
2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080
637 Merced St
Newman, CA 95360
Phone (209) 862-0270
200 C St
Patterson, CA 95363
Phone (209) 892-6307
9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253
4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435
1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388
135 E 1st St
Lakeland, FL 33805
Phone (863) 686-2728
Networks
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Coral Gables, FL
- NPI 1336583707
-
- Family Medicine Physician
- Brandon, FL
- NPI 1326143397
-
- Clinic/Center
- Lakeland, FL
- NPI 1437650579
-
- Clinic/Center
- Dade City, FL
- NPI 1952039562
-
- Federally Qualified Health Center (FQHC)
- Merced, CA
- NPI 1487495370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1043545866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR",
"address_2": "SUITE 311 WEST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115964",
"telephone_number": "813-654-2445",
"fax_number": "813-654-9885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 VONDERBURG DR",
"address_2": "SUITE 311 WEST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115964",
"telephone_number": "813-654-2445",
"fax_number": "813-654-9885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAURIN",
"first_name": "SCOTT",
"middle_name": "CAMERON",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9105141",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "65506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.