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

Mary Kathryn Scaggs

Individual provider Family Nurse Practitioner · NPI 1376290429

Mary Kathryn Scaggs is a Nurse Practitioner in Williamsburg, Virginia. Qualified in 2022, 4 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2022
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Practice location Address checks out

1600 Richmond Rd
Williamsburg, VA 23185-2724
Phone: (757) 229-0015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024183770 (VA)

Record details

NPI number1376290429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2022
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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