DR. FRED RANDOLPH SCOTT III
NPI 1679272090
Counselor - Professional in Suffolk, VA

Active since February 24, 2023PECOS EnrolledAccepts Medicare Assignment
208 REPUBLIC LN, SUFFOLK, VA 23434(757) 269-1400 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Jul 13, 2023, Jun 19, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Fred Randolph Scott Iii NPPES

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

DR. FRED RANDOLPH SCOTT III (NPI 1679272090) is an individual professional provider in Suffolk, Virginia, licensed in Virginia (0701012670) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679272090
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. FRED RANDOLPH SCOTT III
Location Address208 REPUBLIC LNSuffolk, VA 23434-1005
Mailing AddressPo Box 1492Suffolk, VA 23439-1492 · (757) 269-1400 · Fax (757) 809-3423
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 24, 2023
Last NPPES UpdateNovember 8, 20234 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1679272090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in VA · 0701012670 Licensed in VA · 0704013358
208 REPUBLIC LN, Suffolk, VA 23434

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Fred Randolph Scott Iii 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 ID3678917192
PECOS Enrollment IDI20240222003592
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

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

Counselor (Mental Health)
208 REPUBLIC LN
SUFFOLK, VA 23434

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 Fred Scott's NPI number?

The NPI number for Fred Scott is 1679272090. It was assigned to this individual provider in the NPPES registry on February 24, 2023.

Where is Fred Scott located?

Fred Scott practices at 208 Republic Ln, Suffolk, VA 23434. The listed phone number is (757) 269-1400.

What is Fred Scott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Fred Scott enrolled in Medicare?

Yes. Fred Scott 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.

What insurance does Fred Scott accept?

Health plans from Blue Cross and Blue Shield of Texas and Providence Health Plan list Fred Scott 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 Fred Scott was last updated on November 8, 2023. 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.