Individual provider Active NPI

Sarah J Gomez, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1003425604
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006836 Issued in FL
Practice address
7855 Argyle Forest Blvd Ste 601
Jacksonville, FL 32244-7704
Phone
(904) 778-3389
Fax
(904) 778-3395
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11006836 FL Primary

Addresses

Primary practice location

7855 Argyle Forest Blvd Ste 601
Jacksonville, FL 32244-7704

Mailing address

705 Wells Rd
Orange Park, FL 32073-2982
Phone (904) 282-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001327 FL Practitioner - Nurse Practitioner 3678999299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians

Practice addresses (Care Compare)

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221-8064
Phone (904) 379-7155

1689 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4817
Phone (904) 269-1366

1821 Blanding Blvd
Suite 1
Middleburg, FL 32068-3839
Phone (904) 406-3160

1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083

3839 County Rd
Suite 218
Middleburg, FL 32068-5708
Phone (904) 282-5474

421 Kingsley Ave
Orange Park, FL 32073-4898

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Group Services PA CurrentSince Aug 10, 2020 Accepting new patients
Physicians Group Services PA Family CurrentSince Aug 10, 2020 Accepting new patients
Physicians Group Services PA Past Accepting new patients

Locations

7855 Argyle Forest Blvd
Ste 601
Jacksonville, FL 32244
Phone (904) 570-9404

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

7855 Argyle Forest Blvd
Ste 101
Jacksonville, FL 32244

1909 Beach Blvd
Ste 102
Jax Bch, FL 32250
Phone (904) 246-2752

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

421 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 621-0643

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

Interoperability endpoints

  • Direct secure messaging: sarah.gomez.1@25110.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1003425604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WELLS RD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320732982",
            "telephone_number": "904-282-6331",
            "fax_number": "904-619-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7855 ARGYLE FOREST BLVD STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447704",
            "telephone_number": "904-778-3389",
            "fax_number": "904-778-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "SARAH",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.