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Individual provider Active NPI

Scott C Scoggins, MD

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1699771014
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME168847 Issued in FL
Practice address
13880 Shell Point PLZ Ste 110
Fort Myers, FL 33908-3504
Phone
(239) 454-2146
NPI assigned
Jun 21, 2005
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9501407 NC
Family Medicine Physician 207Q00000X ME168847 FL Primary

Addresses

Primary practice location

13880 Shell Point PLZ Ste 110
Fort Myers, FL 33908-3504

Mailing address

15000 Shell Point Blvd Ste 100
Fort Myers, FL 33908-1657
Phone (239) 454-2146

Other practice location 1

13880 Shell Point Plz Ste 200
Fort Myers, FL 33908-3504
Phone (239) 466-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090811000737 NC Practitioner - Family Practice 4284788175
I20240821001939 FL Practitioner - Family Practice 4284788175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Miami, LM Miller School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13880 Shell Point PLZ
Suite 110
Fort Myers, FL 33908-3504
Phone (239) 454-2146

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME168847FLMDFamily Medicine Physician
9501407NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Christian & Missionary Alliance Foundation Inc CurrentSince Oct 1, 2024 Accepting new patients
The Christian & Missionary Alliance Foundation Inc CurrentSince Oct 1, 2024 Accepting new patients
Extended Care Physicians - Piedmont, PA Past Accepting new patients
Table Rock Family Medicine Family Medicine Past Accepting new patients

Locations

13880 Shell Point Plz
Ste 110
Fort Myers, FL 33908
Phone (239) 454-2146

13880 Shell Point Plz
Ste 200
Fort Myers, FL 33908
Phone (239) 454-2146

15000 Shell Point Blvd
Ste 100
Fort Myers, FL 33908
Phone (813) 454-1111

15051 Shell Point Blvd
Fort Myers, FL 33908
Phone (239) 454-2146

8100 Arbor Ct
Fort Myers, FL 33908
Phone (239) 454-2146

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1699771014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-454-2146",
            "fax_number": "239-466-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 SHELL POINT PLZ STE 110",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083504",
            "telephone_number": "239-454-2146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13880 Shell Point Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339083504",
            "country_code": "US",
            "telephone_number": "239-466-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOGGINS",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501407",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME168847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.