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DR. STACEY LAMAR SCOTTON D.P.M.
NPI 1538460555
Podiatrist - Foot & Ankle Surgery in Jacksonville, FL

Active since November 08, 2010PECOS Enrolled
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, JACKSONVILLE, FL 32212(904) 542-7200 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacey Lamar Scotton D.p.m. NPPES

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

DR. STACEY LAMAR SCOTTON D.P.M. (NPI 1538460555) is an individual foot & ankle surgery provider in Jacksonville, Florida, licensed in Pennsylvania (SC006081) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Podiatric Medicine (2008).

NPPES Registry Identity

NPI1538460555
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. STACEY LAMAR SCOTTONCredential: D.P.M.
Location Address2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMANDJacksonville, FL 32212-0140
Mailing Address4205 Admirals Walk DrCohoes, NY 12047-3658 · (706) 506-5841
Phone(904) 542-7200
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 2008
Enumeration DateNovember 8, 2010
Last NPPES UpdateAugust 11, 2011
✔ NPI 1538460555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in PA · SC006081
2005 KNIGHT LANE BLDG H, Jacksonville, FL 32212
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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)

Dr. Stacey Lamar Scotton D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183956329
PECOS Enrollment IDI20260318002405
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.

Other Providers at the Same Location NPPES 20

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

UNITED STATES NAVY
Clinic/Center (Military Ambulatory Procedure Visits Operational (Transportable))
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (760) 725-3213
KRISTIN MANSON
Pediatrics (Pediatric Emergency Medicine)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, MEDICAL STAFF SERVICES
JACKSONVILLE, FL 32212
Duval County (619) 532-6474
MRS. CAROL ELIZABETH GISCHIA AUD
Audiologist
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (904) 542-7200
ROBERT B WILSON M.D.
Radiology (Diagnostic Radiology)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SERVS
JACKSONVILLE, FL 32212
Duval County (619) 532-5998
DR. TERRANCE CHRISTOPHER LEARY DDS
Dentist (General Practice)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (858) 577-1825
MAURICE HARDY
Student in an Organized Health Care Education/Training Program
2005 KNIGHT LANE BLDG H, ATTN:MEDICAL STAFF SERVICES NAVY MECINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (202) 762-3194
DR. TIMOTHY WILLIAM HOWARTH DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (904) 542-7200
RUSTON L HESS
Student in an Organized Health Care Education/Training Program
2005 KNIGHT LANE BLDG H, NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES
JACKSONVILLE, FL 32212
Duval County (619) 532-6684

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 Stacey Scotton's NPI number?

The NPI number for Stacey Scotton is 1538460555. It was assigned to this individual provider in the NPPES registry on November 8, 2010.

Where is Stacey Scotton located?

Stacey Scotton practices at 2005 Knight Lane Bldg H Navy Medicine Support Command, Jacksonville, FL 32212. The listed phone number is (904) 542-7200.

What is Stacey Scotton's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stacey Scotton enrolled in Medicare?

Yes. Stacey Scotton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Scotton was last updated on August 11, 2011. 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.