Individual Healthcare Provider
Scott Clark, PA
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1255440475
- Primary Specialty
- Physician Assistant
- Practice Location
- The Villages, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 8:16 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Taxonomy code 363A00000X
Provider-Reported License Information
- Physician Assistant (Florida)
- PA3724
Practice Locations
Practice Location
1503 Buenos Aires Blvd Ste 100
The Villages, Florida 32159-6825
Phone: (352) 753-2812
Additional Practice Location
725 W Granada Blvd Ste 44
Ormond Beach, Florida 32174-9406
Phone: (386) 898-0547
Fax: (386) 898-0551
Additional Practice Location
2893 Enterprise Rd Ste 100
Debary, Florida 32713-2784
Phone: (386) 789-8600
Fax: (386) 789-0219
Additional Practice Location
1918 Se 17th St # 300
Ocala, Florida 34471-4120
Phone: (352) 620-2420
Fax: (352) 620-2935
Additional Practice Location
1816 Salk Ave
Tavares, Florida 32778-4300
Phone: (352) 343-2461
Fax: (352) 343-5968
Additional Practice Location
600 W Plymouth Ave
Deland, Florida 32720-3260
Phone: (386) 738-8000
Fax: (386) 738-0929
Record Information
- Enumeration Date
- August 30, 2006
- Provider's NPPES Record Last Updated
- July 21, 2022
- NPISignal NPPES Dataset
- August 2026
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