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MR. JOHNNY KEITH SCOTT P.A.
NPI 1417091067
Physician Assistant - Medical in Atlantic Beach, FL

Active since February 16, 2007PECOS Enrolled
392 7TH ST, ATLANTIC BEACH, FL 32233(904) 270-4220 Get Directions Write a Review

NPPES record last updated: May 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Johnny Keith Scott P.a. NPPES

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

MR. JOHNNY KEITH SCOTT P.A. (NPI 1417091067) is an individual medical provider in Atlantic Beach, Florida, licensed in Florida (1946) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417091067
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOHNNY KEITH SCOTTCredential: P.A.
Location Address392 7TH STAtlantic Beach, FL 32233-5434
Mailing Address392 7th StAtlantic Beach, FL 32233-5434
Phone(904) 270-4220
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateMay 20, 2012
✔ NPI 1417091067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · 1946
392 7TH ST, Atlantic Beach, FL 32233
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Johnny Keith Scott P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Johnny Scott's NPI number?

The NPI number for Johnny Scott is 1417091067. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Johnny Scott located?

Johnny Scott practices at 392 7th St, Atlantic Beach, FL 32233. The listed phone number is (904) 270-4220.

What is Johnny Scott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Johnny Scott enrolled in Medicare?

Yes. Johnny Scott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Johnny Scott was last updated on May 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.