Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Scott Carroll, MD

Individual provider Diagnostic Radiology Physician · NPI 1497931406

Dr. Jerry Scott Carroll, MD is a Diagnostic Radiology in Leesburg, Florida. Qualified in 2005, 21 years ago. Practices with Lake Medical Imaging and Breast Center at the Villages LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Licensed in
FL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

734 N 3rd St Ste 115
Leesburg, FL 34748-5285
Phone: (352) 365-2583
Fax: (352) 728-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Magnetic Resonance Imaging (MRI) Internal Medicine Physician (primary) Taxonomy 207RM1200X · Licence ME109665 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME109665 (FL)

Record details

NPI number1497931406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 21, 2008
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020
Mailing address734 N 3rd St, Suite 115, Leesburg, FL 34748-5285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Lake Medical Imaging And Breast Center At The Villages Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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