Individual provider Active NPI

Scott Nelson Sheppard, MD

  • Diagnostic Radiology Physician
  • Germantown, TN
National Provider Identifier
1124551692
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
75216 Issued in TN
Practice address
8147 Pine CRK W
Germantown, TN 38138-4120
Phone
(919) 604-3574
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 39850 NH
Diagnostic Radiology Physician 2085R0202X 75216 TN Primary
Diagnostic Radiology Physician 2085R0202X MS30862 ME

Addresses

Primary practice location

8147 Pine CRK W
Germantown, TN 38138-4120

Mailing address

8147 Pine CRK W
Germantown, TN 38138-4120
Phone (919) 604-3574

Other practice location 1

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-2518

Other practice location 2

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-4735

Other practice location 3

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 983-3264

Other practice location 4

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200319002545 CA Practitioner - General Practice 8123456498 Reassigns benefits to 1 organization
I20260625003774 FL Practitioner - Diagnostic Radiology 8123456498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12037 Cortez Blvd
Brooksville, FL 34613-7349

1340 S Damen Ave
Chicago, IL 60608-1169

1340 S Damen Ave
Suite 200
Chicago, IL 60608-1170

14690 Spring Hill Dr
Suite 101
Spring Hill, FL 34609-8102

40946 US Hwy 19 N
Suite 101
Tarpon Springs, FL 34689-5446

40946 US Hwy 19 N 101
Tarpon Springs, FL 34689-5446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 2, 2020 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Mar 2, 2020 Accepting new patients

Locations

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1124551692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 PINE CRK W",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381384120",
            "telephone_number": "919-604-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 PINE CRK W",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381384120",
            "telephone_number": "919-604-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 John Paul Jones Cir",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "237082111",
            "country_code": "US",
            "telephone_number": "757-953-2518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4735",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Reid Pkwy",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "IN",
            "postal_code": "473741157",
            "country_code": "US",
            "telephone_number": "765-983-3264",
            "fax_number": "765-983-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "fax_number": "207-662-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "SCOTT",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "39850",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "75216",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MS30862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.