Active NPI
Scott T Marberry, MD
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME126999
- Practice address
- 14810 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-2558 - Phone
- (904) 435-0600
- Fax
- (904) 264-9750
- NPI assigned
- May 11, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME126999 | FL | |
| Family Medicine Physician | 207Q00000X | ME126999 | FL | Primary |
Addresses
Primary practice location
14810 Old Saint Augustine Rd Ste 101
Jacksonville, FL 32258-2558
Mailing address
705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019878900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Bartram Oaks Walk
Suite 104
Jacksonville, FL 32259-3247
201 Village Oaks Dr
Saint Johns, FL 32259-3876
2600 Westhall Lane
Box 300
Maitland, FL 32751-7102
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
7855 Argyle Forest Blvd
Suite 101
Jacksonville, FL 32244-5597
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME126999 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Current | Accepting new patients | |
| Physicians Group Services PA | Family Medicine | Current | Accepting new patients |
| PCP Financial Services LLC | Past | Accepting new patients |
Locations
14810 Old St Augustine Rd
Ste 101
Jacksonville, FL 32258
Phone (904) 260-4111
14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080
Networks
- Freedom Health HMO Network
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
-
- Exclusive Provider Organization
- Orange Park, FL
- NPI 1134378078
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1972914174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WELLS RD STE 300",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732982",
"telephone_number": "904-282-6331",
"fax_number": "904-619-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14810 OLD SAINT AUGUSTINE RD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322582558",
"telephone_number": "904-435-0600",
"fax_number": "904-264-9750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARBERRY",
"first_name": "SCOTT",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-11",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME126999",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME126999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019878900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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; Opt Out Affidavits.
- 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.