Individual provider Active NPI

Scott T Marberry, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1972914174
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME126999 Issued in FL
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

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
019878900MedicaidFL

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
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 Hospital, Jacksonville, FL, CCN 100088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME126999FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Jul 12, 2021 Accepting new patients
Physicians Group Services PA Family Medicine CurrentSince Jul 12, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.