Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott Alexander Stout, PA-C

Individual provider Physician Assistant · NPI 1942385893

Mr. Scott Alexander Stout, PA-C is a Physician Assistant in Lebanon, Tennessee. Qualified in 1995, 31 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
31
Licensed in
TN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

107 Glidepath Way
Lebanon, TN 37090-4133
Phone: (615) 449-5771
Fax: (615) 449-5740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1125 Deer Lodge Hwy, Clarkrange, TN 38553-5027 — (931) 200-7674
  • 303 N Oak Ave, Cookeville, TN 38501-2439 — (931) 484-6061

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1324 (TN)

Record details

NPI number1942385893
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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