NC · Healthcare shortage profile
Scotland County, NC
Home to 34,174 residents, with 17 active HRSA shortage designations.
- Active HPSAs
- 17
- Population
- 34,174
- Peak shortage score
- 22.0
- MUA Index
- 48.9
Heavy-burden verdict
According to current HRSA Data Warehouse records, Scotland County ranks among the most underserved counties in the country - 17 active HPSA designations, more than 93% of the 3,289 real US counties, with primary care the deepest gap.
- 17
- Active HPSA designations
- 6
- Primary-care shortages
- 22
- Peak severity score (of 26)
- Top 7%
- US counties by volume
Key findings
What the HRSA Data Warehouse does not surface for Scotland County, NC on its own pages , computed from the retained designation mirror as of 2026-08-03. Each line carries its own denominator so it can be quoted as it stands.
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35.3% of Scotland County's 17 active designations are primary care.
Discipline mix from designated HPSA records only: 6 primary care, 6 mental health, 5 dental (denominator 17).
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Closing Scotland County's active designations would take about 12 additional clinician FTEs, with primary care the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 6.4 primary care, 3.2 mental health, 2.9 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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Peak HPSA score 22.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Scotland County carries 17 active designations, above 93% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Scotland County sits among the top three county rank positions in NC, at rank 3 of 100. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 37165. Population: 34,174.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 17 active (designated) HPSAs in Scotland County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| LI - Scotland County | primary_care | 22.0 |
| Scotland Correctional Institution | mental_health | 21.0 |
| Access Medical Clinic NC, PLLC | primary_care | 19.0 |
| Maxton Family Practice Center | primary_care | 19.0 |
| Harris Family Practice | primary_care | 19.0 |
| Scotland County | mental_health | 19.0 |
| Harris Family Practice | mental_health | 19.0 |
| Maxton Family Practice Center | mental_health | 19.0 |
| Access Medical Clinic NC, PLLC | mental_health | 19.0 |
| LI - Scotland County | dental | 19.0 |
| Maxton Family Practice Center | dental | 19.0 |
| Harris Family Practice | dental | 19.0 |
| Access Medical Clinic NC, PLLC | dental | 19.0 |
| Wagram Family Practice | primary_care | 18.0 |
| Wagram Family Practice | mental_health | 18.0 |
| Wagram Family Practice | dental | 17.0 |
| Scotland Correctional Institution | primary_care | 6.0 |
Heavy-burden reading for Scotland County
Primary care is where Scotland County is stretched thinnest: HRSA scores it 22.0 of 25, the county's highest severity reading and past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Mental health reads 21.0 of 25; Dental care reads 19.0 of 26. The county also sits inside a Medically Underserved Area, indexed at 48.9, and the lower the index, the greater the measured need.
Volume places Scotland County above 93% of real US counties (17 active designations: 6 primary care, 6 mental health, 5 dental). Peak severity on the current designated set is 22.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Scotland County sits among the top three county rank positions in NC, at rank 3 of 100. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Scotland County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
6 designations
- Mental health
Mental health
6 designations
- Dental
Dental
5 designations
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Scotland County, NC · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Scotland County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Scotland County's 17 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of NC before you draw conclusions from a single score. NC overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Primary Care Shortage Score
Other U.S. counties whose active HRSA primary-care HPSA score is closest to Scotland County's 22.0. This compares the designation score only, not local appointment availability or care quality. Start with District of Columbia County, DC and Caddo County, LA.
Frequently Asked Questions
Is Scotland County a Medically Underserved Area?
Yes, Scotland County is designated as a Medically Underserved Area (MUA) by HRSA. The MUA Index for this county is 48.9. MUA designation qualifies the area for enhanced federal funding and provider incentive programs.
How many healthcare shortage areas does Scotland County have?
Scotland County, NC has 17 Health Professional Shortage Area designations: 6 in primary care, 6 in mental health, and 5 in dental care, according to HRSA data.
What does Scotland County's HPSA score of 22.0 mean?
22.0 in primary care clears 17, HRSA's high-priority line, which is what makes providers here eligible for NHSC placement and enhanced reimbursement.
What healthcare providers are needed in Scotland County?
Based on HRSA shortage designations, Scotland County needs additional providers in primary care (family physicians, internists, pediatricians), mental health (psychiatrists, psychologists, clinical social workers), and dental care (dentists, dental hygienists). The National Health Service Corps offers loan repayment and scholarship programs for providers who serve in designated shortage areas.
Which federal programs do Scotland County's designations unlock?
Scotland County's 17 active designations open NHSC placement, Community Health Center grants, the Medicare bonus and J-1 waivers, but eligibility follows the designated area and provider type, not the county line.
How does Scotland County compare to other counties in NC?
Scotland County has 17 total HPSA designations with a peak shortage score of 22.0. You can compare shortage levels across all counties in NC on the state overview page, or view national county rankings to see where Scotland County stands relative to the rest of the country. Score-nearest counties on this release include District of Columbia County, DC and Caddo County, LA.
Learn More About Healthcare Shortages
Explore more NC shortage data
Source: HRSA Data Warehouse. FIPS: 37165. PlainHealthAccess is not affiliated with HRSA or any government agency.
Disclaimer: This information is provided for informational purposes only and does not constitute professional advice. Data is sourced from the HRSA Data Warehouse. Consult a qualified professional before making decisions based on this data.
Read our methodology - how this data is sourced, computed, and verified.
Verify with U.S. Census Bureau →
Every figure on PlainHealthAccess is rendered directly from HRSA source data, no number is typed in by an editor. This page counts active HPSA rows for FIPS 37165 (Scotland County, NC) from the current HRSA release and places that total among all real US counties. Designations describe federal shortage criteria, not appointment availability or care quality for any person. See our editorial standards & corrections policy, the methodology behind these numbers, review the public data changelog, or report a data issue for this page. Data current as of 2026-08-03.