SCOTT SHIELDS WILLIAMS MD
NPI 1407816341
Pediatrics - Pediatric Nephrology in Pensacola, FL

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
5153 N 9TH AVE STE 4B, PENSACOLA, FL 32504(850) 416-2280(850) 416-2258 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2024, Jun 26, 2018, Aug 12, 2016 (3 updates tracked since 2016).

About Scott Shields Williams Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT SHIELDS WILLIAMS MD (NPI 1407816341) is an individual pediatric nephrology provider in Pensacola, Florida, licensed in Florida (ME165219) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1407816341
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameSCOTT SHIELDS WILLIAMSCredential: MD
Location Address5153 N 9TH AVE STE 4BPensacola, FL 32504-8785
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Fax(850) 416-2258
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
✔ NPI 1407816341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in FL · ME165219
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
5153 N 9TH AVE STE 4B, Pensacola, FL 32504

Other Identifiers 4

Medicaid02822278MS
Medicaid148504AZ
Medicaid173607601TX
Medicaid1755095LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Scott Shields Williams Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456396522
PECOS Enrollment IDI20160801000438
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Scott Williams reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
5225 CARMEL HEIGHTS DR
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 446 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
1800 E FLORENCE BLVD, PATHOLOGY
Casa Grande, AZ 85222
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
Multi-Specialty
5131 E SOUTHERN AVE
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Phoenix Children's Hospital
  • 1,416 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers12 claims13 services$12.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
5153 N 9TH AVE STE 4B
PENSACOLA, FL 32504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Williams's NPI number?

The NPI number for Scott Williams is 1407816341. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Scott Williams located?

Scott Williams practices at 5153 N 9th Ave Ste 4B, Pensacola, FL 32504. The listed phone number is (850) 416-2280.

What is Scott Williams's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Scott Williams enrolled in Medicare?

Yes. Scott Williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Williams reassigns Medicare benefits to 3 organizations: Sacred Heart Health System, Inc. (Pensacola, FL), District Medical Group, Inc (Casa Grande, AZ) and Phoenix Children's Medical Group (Mesa, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Williams accept?

Health plans from Antidote Health Plan of Arizona, Inc., Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Imperial Insurance Companies, Inc. and Oscar Health Maintenance Organization of Florida and 1 other insurer list Scott Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Williams was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.