Individual provider Active NPI

Scott Allen Sanford, M.D.

  • Family Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1497754725
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME63841 Issued in FL
Practice address
5550 S US Highway 1
Fort Pierce, FL 34982-8701
Phone
(772) 460-9227
Fax
(772) 460-9292
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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 ME63841 FL Primary

Addresses

Primary practice location

5550 S US Highway 1
Fort Pierce, FL 34982-8701

Mailing address

5550 S US Highway 1
Fort Pierce, FL 34982-8701
Phone (772) 460-9227

Other identifiers 1

IdentifierTypeStateIssuer
592770836OtherFLTAX ID FOR TRICARE

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
I20040827000190 FL Practitioner - Family Practice 4082689740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Now Medical Centers IncGroup PAC ID 3971554825, 314 clinicians
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

640 21St St
Vero Beach, FL 32960-0933
Phone (772) 299-1092

805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince May 9, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince May 9, 2023 Accepting new patients
Jacksonville Carenow Urgent Care, LLC CurrentSince Mar 1, 2020 Accepting new patients
Orlando Carenow Urgent Care LLC CurrentSince Dec 7, 2019 Accepting new patients
Paramount Urgent Care Inc CurrentSince Dec 7, 2019 Accepting new patients
Pine Castle Urgent Care Center PLLC Past Accepting new patients
Medical Office Consultants, Inc. Family Medicine Past Accepting new patients
Heathrow Internal Medicine LLC Family Medicine Past Accepting new patients

Locations

628 Cagan View Rd
Clermont, FL 34714
Phone (352) 242-1988

5550 S US Highway 1
Fort Pierce, FL 34982
Phone (772) 293-0377

5550 S US Highway 1
Ste 1
Fort Pierce, FL 34982
Phone (772) 460-9227

4888 Town Center Pkwy
Unit 107
Jacksonville, FL 32246
Phone (904) 800-1735

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1900 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 398-1588

5102 Sr 46
Sanford, FL 32771
Phone (321) 765-6152

640 21st St
Vero Beach, FL 32960
Phone (772) 299-1092

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 8

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1497754725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 S US HIGHWAY 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828701",
            "telephone_number": "772-460-9227",
            "fax_number": "772-460-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME63841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR TRICARE",
            "identifier": "592770836",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.