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

Scott Blackburn, DO

Individual provider Surgery Physician · NPI 1770747081

Scott Blackburn, DO is a General Surgery in Panama City, Florida. Qualified in 2007, 19 years ago. Practices with Gulf Coast Multispeciality Services, LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Mississippi.

Years since qualifying
19
Licensed in
FL, MS
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2202 State Ave Ste 111
Panama City, FL 32405-4539
Phone: (850) 780-2141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 Broad Ave, Gulfport, MS 39501-2404 — (228) 575-1200

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 21299 (FL)
Surgery Physician Taxonomy 208600000X · Licence 22156 (MS)

Record details

NPI number1770747081
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 16, 2008
Last updated in NPPESAugust 5, 2024
Certification dateAugust 5, 2024
Mailing address2202 State Ave Ste 111, Panama City, FL 32405-4539

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Gulf Coast Multispeciality Services, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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