Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780641464 Deactivated / Inactive NPI Male Practitioner

Dr. Walter Phelps Scott , MD

Specialist • Jacksonville Beach, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Walter Scott has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 27, 2006
NPI Deactivation Date June 12, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Walter Scott, MD was a registered Specialist practicing in Jacksonville Beach, FL. Throughout an active medical career spanning 18 years, Dr. Scott provided care at the practice location at 1375 ROBERTS DR until profile deactivation on 2024-06-12.

Practice Location & Contact Primary Location

Practice Address

1375 Roberts Dr
Suite 100

Jacksonville Beach, FL 322503210

Telephone 9042420166
Fax 9042420167
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Jacksonville Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.4 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
9 Specialists

Practicing in Jacksonville Beach, FL (3036 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL ME7190

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Michael Ibach , MD

Internal Medicine - Gastroenterology

NPI 1053362723

Doctor of Medicine (M.D.)

Michelle Krawczyk , ARNP

Nurse Practitioner - Adult Health

NPI 1073501805

Advanced Registered Nurse Practitioner

Shirley Fabrizio , ARNP

Nurse Practitioner

NPI 1093722647

Advanced Registered Nurse Practitioner

Dr. Thomas Gaddis , MD

Internal Medicine - Hematology & Oncology

NPI 1346245768

Doctor of Medicine (M.D.)

Dr. Joe Gerges El Khoury , MD

Internal Medicine - Gastroenterology

NPI 1396949954

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 12, 2024

Record deactivated on June 12, 2024

NPI Profile Active May 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2008

Registered at 1375 ROBERTS DR, SUITE 100, JACKSONVILLE BEACH, FL 322503210 (Tel: 9042420166)

📍
Updated Business Mailing Address May 28, 2008

Registered at PO BOX 19675, JACKSONVILLE, FL 322459675 (Tel: 9043463338)

👤
Provider Name / Credentials Updated May 28, 2008

Recorded as WALTER SCOTT, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2008

Specialist (License #ME7190 in FL)

🟢
Initial NPI Registration & Enumeration April 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Walter Scott. Be the first to share your experience!

Sign in to leave a review for Dr. Walter Scott

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780641464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2006
Last Update: May 28, 2008
Deactivation Date: June 12, 2024

Mailing Address

Po Box 19675

Jacksonville, FL 322459675

Phone: 9043463338

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.