Individual provider Active NPI

Scott Thomas Fechter, D.C.

  • Chiropractor
  • Palatka, FL
National Provider Identifier
1679785331
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8582 Issued in FL
Practice address
727 Saint Johns Ave
Palatka, FL 32177-4645
Phone
(386) 328-4043
Fax
(904) 823-9394
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8582 FL Primary

Addresses

Primary practice location

727 Saint Johns Ave
Palatka, FL 32177-4645

Mailing address

2550 US 1 S
St Augustine, FL 32086-6194
Phone (904) 823-8833

Other practice location 1

2550 US 1 S
St Augustine, FL 32086-6194
Phone (904) 823-8833

Other identifiers 1

IdentifierTypeStateIssuer
127584600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000274 FL Practitioner - Chiropractic 8820085343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Fechter Chiropratic P aGroup PAC ID 0042207565, 2 clinicians

Practice addresses (Care Compare)

165 Southpark Blvd
St Augustine, FL 32086-4101
Phone (904) 823-8833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Fechter Chiropractic Inc Chiropractor CurrentSince Jul 4, 2003 Accepting new patients

Locations

727 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-4043

2550 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 823-8809

165 Southpark Blvd
Ste Cd
Saint Augustine, FL 32086

165 Southpark Blvd
Ste C
St Augustine, FL 32086
Phone (904) 276-0306

Organizations & group practices 1

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1679785331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 US 1 S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866194",
            "telephone_number": "904-823-8833",
            "fax_number": "904-823-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774645",
            "telephone_number": "386-328-4043",
            "fax_number": "904-823-9394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 US 1 S",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320866194",
            "country_code": "US",
            "telephone_number": "904-823-8833",
            "fax_number": "904-823-9394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FECHTER",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127584600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.