MEDICARE: DR. SCOTT MICHAEL EVERSON DO, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	0102207681	VA
2	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	0102207681	VA
3	2083P0500X	Preventive Medicine/Occupational Environmental Medicine Physician	02003557A	IN

General Provider Information

NPI Number	:	1750550851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT MICHAEL EVERSON DO, MPH

Provider Business Mailing Address
First Line	:	2094 TWIN SIX LN
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-3008
Country	:	US
Telephone Number	:	937-369-7982
Fax Number	:

Provider Business Practice Location Address
First Line	:	2094 TWIN SIX LN
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22026-3008
Country	:	US
Telephone Number	:	240-997-5862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	05/21/2026

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