Healthcare Provider Details

I. General information

NPI: 1568857829
Provider Name (Legal Business Name): SCOTT DUANE SEXTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2015
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W ILLINOIS AVE
SOUTHERN PINES NC
28387-5808
US

IV. Provider business mailing address

195 W ILLINOIS AVE
SOUTHERN PINES NC
28387-5808
US

V. Phone/Fax

Practice location:
  • Phone: 910-692-2444
  • Fax:
Mailing address:
  • Phone: 910-692-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2018-01764
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: