SCOTT MICHAEL LINACRE (PA-C) – Surgical Physician Assistant, NPI 1295974566

SCOTT MICHAEL LINACRE (PA-C) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SCOTT MICHAEL LINACRE (PA-C) is 1295974566

Main info

Male
18 Years Of Experience
Name
SCOTT MICHAEL LINACRE (PA-C)
NPI
1295974566
Phone
(770) 962-3642
Address
455 PHILIP BLVD
Enumeration Date
11 February 2009
Last Update Date
30 May 2018

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7709623642
Graduation Year
2008 (18 years ago)
PAC ID
4587715891
Group Practice PAC ID
8527200864
Professional Enrollment ID
I20090626000321
Address ID
GA300305406DE484XXCTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:17State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for SCOTT MICHAEL LINACRE (PA-C)

  • 455, Philip Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    STE 140

    LAWRENCEVILLE, GA 300468768

    Phone: (770) 962-3642

    Fax: (770) 962-3643

    Type: Mailing

  • 631, Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 360

    LAWRENCEVILLE, GA 300463367

    Phone: (678) 312-2700

    Fax: (678) 312-2730

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 170 Open Payments records for all available years, with a total value of $6,801.

Total Amount is formed as General ($6,801) + Research ($0) + Ownership ($0) = $6,801.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Medtronic, Inc. ($4,650).

Total Amount

$6,801

General + Research + Ownership

Payments

170

Total payment records

General Amount

$6,801

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-06-26

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
I20090626000321IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30046)

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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: 8527200864View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Interventional Pain ManagementMS
Nurse PractitionerGA
Physician AssistantGA
Neurology, Pain Management, Pain ManagementTN
Anesthesiology, Pain ManagementGA
Nurse PractitionerGA
Pain Management, Physical Medicine And RehabilitationGA

Reviews

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Frequently asked questions

What identifier follows SCOTT MICHAEL LINACRE (PA-C) across health systems?
The NPI 1295974566 uniquely identifies SCOTT MICHAEL LINACRE (PA-C) in U.S. healthcare data.
Is SCOTT MICHAEL LINACRE (PA-C)'s NPI status active today?
Active status means SCOTT MICHAEL LINACRE (PA-C)'s NPI record is not deactivated in the public file.
What does the directory say SCOTT MICHAEL LINACRE (PA-C) does?
Insurance directories may phrase it differently, but here SCOTT MICHAEL LINACRE (PA-C) maps to Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to SCOTT MICHAEL LINACRE (PA-C)?
SCOTT MICHAEL LINACRE (PA-C) shows a connection to Lawrenceville, Georgia in registry-derived data.
Can I export SCOTT MICHAEL LINACRE (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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