MRS. SOPHIA FORSYTH SCULLY (CAA) – Anesthesiologist Assistant, NPI 1598432338

MRS. SOPHIA FORSYTH SCULLY (CAA) is a healthcare provider. based in Ponte vedra, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. AA658 (FL). The NPI Number for MRS. SOPHIA FORSYTH SCULLY (CAA) is 1598432338

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SOPHIA FORSYTH SCULLY (CAA)
NPI
1598432338
Phone
(904) 874-9091
Address
2304 LATRIUM CIR N
Enumeration Date
29 August 2021
Last Update Date
20 March 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9042478181
Graduation Year
2021 (5 years ago)
PAC ID
8921405655
Group Practice PAC ID
1759458540
Professional Enrollment ID
I20210923001074
Address ID
FL322506091JA3316XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for MRS. SOPHIA FORSYTH SCULLY (CAA)

  • 2304 LATRIUM CIR N

    PONTE VEDRA, FL 320822920

    Phone: (904) 874-9091

    Type: Mailing

  • 1 SHIRCLIFF WAY

    JACKSONVILLE, FL 322044748

    Phone: (904) 308-7300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210923001074IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00670Anesthesia for extensive surgery on spine1717$0
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 32082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759458540View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology AssistantNJ
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

What is MRS. SOPHIA FORSYTH SCULLY (CAA)'s NPI number?
MRS. SOPHIA FORSYTH SCULLY (CAA)'s NPI is 1598432338 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. SOPHIA FORSYTH SCULLY (CAA)?
You should see MRS. SOPHIA FORSYTH SCULLY (CAA) as active in CMS-hosted NPPES data.
How would a patient describe MRS. SOPHIA FORSYTH SCULLY (CAA)'s focus?
For MRS. SOPHIA FORSYTH SCULLY (CAA), the primary taxonomy reads as Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where in Florida is MRS. SOPHIA FORSYTH SCULLY (CAA) registered?
Use Ponte Vedra, Florida as the headline location for MRS. SOPHIA FORSYTH SCULLY (CAA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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