Active NPI
Scott Forrest Corneal, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- St Augustine, FL
National Provider Identifier
1215966577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- OS 9769
- Practice address
- 1301 Plantation Island Dr S
Suite 402a
St Augustine, FL 32080-3108 - Phone
- (904) 471-4744
- Fax
- (904) 471-4745
- NPI assigned
- Jun 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | OS 9769 | FL | Primary |
Addresses
Primary practice location
1301 Plantation Island Dr S
Suite 402a
St Augustine, FL 32080-3108
Mailing address
1301 Plantation Island Dr S
Suite 402a
St Augustine, FL 32080-3108
Phone (904) 471-4744
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- University of New England, College of Osteo Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1301 Plantation Island Dr S
Suite 402a
St Augustine, FL 32080-3118
Phone (904) 471-4744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 9769 | FL | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Pain Solutions, PL | Pain Medicine | Current | Accepting new patients |
| Gwinnett Sports Medicine & Orthopaedic Surgery PC | Past | Accepting new patients |
Locations
1301 Plantation Island Dr S
Ste 402A
Saint Augustine, FL 32080
Phone (904) 471-4744
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- St Augustine, FL
- NPI 1770504755
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Duluth, GA
- NPI 1710071931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215966577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PLANTATION ISLAND DR S",
"address_2": "SUITE 402A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320803108",
"telephone_number": "904-471-4744",
"fax_number": "904-471-4745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PLANTATION ISLAND DR S",
"address_2": "SUITE 402A",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320803108",
"telephone_number": "904-471-4744",
"fax_number": "904-471-4745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEAL",
"first_name": "SCOTT",
"middle_name": "FORREST",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "FL",
"license": "OS 9769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.