HRSA designation data Public-data reference Medically Underserved Area

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

The verdict

Scotland County ranks among the most underserved counties in the country - 17 active HPSA designations, more than 93% of the 2,991 US counties with a designated shortage, 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

Healthcare shortage designations from HRSA. FIPS: 37165. Population: 34,174.

Scotland County, NC (population 34,174) has 6 primary care, 6 mental health, and 5 dental Health Professional Shortage Area designations active according to HRSA. The county is also designated a Medically Underserved Area (MUA) with an MUA Index of 48.9. Shortage severity scores and individual HPSA designations are detailed below.

6
Primary Care HPSAs
6
Mental Health HPSAs
5
Dental HPSAs

HPSA Scores

Primary Care 22.0
Mental Health 21.0
Dental 22.0

Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need.

Medically Underserved Area

MUA Designated
MUA Index: 48.9

Scotland County vs. every US county

Total active HPSA designations, how this county's shortage volume compares nationally

17 Top 7% higher than 93% of 2,991 US counties

0–20: 2,828 US counties (95%). This entry sits in this band. 20–40: 124 US counties (4%). Above this entry. 40–60: 27 US counties (1%). Above this entry. 60–80: 6 US counties (0%). Above this entry. 80–100: 1 US counties (0%). Above this entry. 100–120: 2 US counties (0%). Above this entry. 120–140: 1 US counties (0%). Above this entry. 140–160: 1 US counties (0%). Above this entry. 160–180: 0 US counties (0%). Above this entry. 180–200: 0 US counties (0%). Above this entry. 200–220: 0 US counties (0%). Above this entry. 220–240: 0 US counties (0%). Above this entry. 240–260: 0 US counties (0%). Above this entry. 260–280: 1 US counties (0%). Above this entry. This county 0 280 every US county with a designation, bucketed by value

Each bar is a band; taller bars hold more US counties. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source HRSA Data Warehouse, designated HPSAs · 2026

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
MAXTON FAMILY PRACTICE CENTER primary_care 19.0
HARRIS FAMILY PRACTICE primary_care 19.0
ACCESS MEDICAL CLINIC NC, PLLC primary_care 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
Scotland County mental_health 19.0
MAXTON FAMILY PRACTICE CENTER dental 19.0
LI - Scotland County 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

What the HRSA Data Shows for Scotland County

Scotland County, NC - population 34,174 carries 17 active Health Professional Shortage Area designations in the HRSA Data Warehouse: 6 in primary care, 6 in mental health, and 5 in dental. The county is also flagged as a Medically Underserved Area, scoring 48.9 on the MUA Index (lower scores indicate greater need).

The county's highest shortage-severity score across the three categories is 22.0, which crosses the 17-point threshold HRSA uses to flag high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare reimbursement. Primary-care scoring reached 22.0 (0–25 scale). Mental-health scoring reached 21.0 (0–25 scale). Dental scoring reached 22.0 (0–26 scale).

HRSA lists 17 active (designated) HPSA records tied to Scotland County, covering the specific facilities, geographies, and population groups that received the designation; the table above shows the most severe.

Scotland County designations by care type

Active Health Professional Shortage Area designations in the county, by provider category.

designations
Source HRSA Data Warehouse, designated HPSAs As of 2026

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.

What to do with Scotland County's data

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 estimator

HPSA scores describe structural access to care, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; designations are reviewed by HRSA each quarter.

Frequently Asked Questions

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.

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.

What does an HPSA score mean?

HPSA scores range from 0 to 25 for primary care and mental health (0 to 26 for dental). Higher scores indicate greater shortage severity. Areas with scores of 17 or above are considered high-priority shortage areas eligible for National Health Service Corps placement and enhanced Medicare/Medicaid 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.

How are HPSA designations used by federal programs?

HPSA designations determine eligibility for over 30 federal programs, including National Health Service Corps placements, Community Health Center grants, Medicare bonus payments (10% for physicians in HPSAs), J-1 visa waiver programs for international medical graduates, and Rural Health Clinic certification. These programs channel billions of dollars annually to underserved communities.

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.

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.

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 lists every HPSA and MUA designation on record for the county. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of 2026.