Individual provider Active NPI

Alice Pharies Carter, APRN

  • Nurse Practitioner
  • St Augustine, FL
National Provider Identifier
1407490097
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11004640 Issued in FL
Practice address
40 Groover Loop Ste 200
St Augustine, FL 32086-6569
Phone
(904) 398-7205
NPI assigned
Nov 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11004640 FL
Gerontology Nurse Practitioner 363LG0600X 11004640 FL
Nurse Practitioner 363L00000X APRN11004640 FL Primary

Addresses

Primary practice location

40 Groover Loop Ste 200
St Augustine, FL 32086-6569

Mailing address

4800 Belfort Rd
Jacksonville, FL 32256-6004
Phone (904) 398-3385

Other identifiers 1

IdentifierTypeStateIssuer
104875500MedicaidFL

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
I20200110002333 FL Practitioner - Nurse Practitioner 3072948520 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

40 Groover Loop
Suite 200
St Augustine, FL 32086-6564
Phone (904) 824-6108

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.94 of 100Reported as group
Quality
69.69
Promoting interoperability
89
Improvement activities
40
Cost
69.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11004640FLMDNurse Practitioner
11004640FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Borland Groover Clinic, PA CurrentSince Dec 11, 2023 Accepting new patients
Sound Physicians of Florida IV, LLC CurrentSince Mar 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC CurrentSince Mar 1, 2021 Accepting new patients
Sound Physicians of Florida IV, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Gastroenterology Associates of St Augustine, PA PastSince Dec 11, 2023 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

836 Prudential Dr
Ste 801
Jacksonville, FL 32207
Phone (904) 288-0433

4800 Belfort Rd
Jacksonville, FL 32256
Phone (904) 307-2084

400 Health Park Blvd
Ste 300
St Augustine, FL 32086
Phone (904) 819-4082

400 Health Park Blvd
St Augustine, FL 32086
Phone (904) 819-4300

40 Groover Loop
Ste 200
St Augustine, FL 32086
Phone (904) 824-6108

3100 E Fletcher Ave
#C
Tampa, FL 33613

Interoperability endpoints

  • Direct secure messaging: acarter413830@direct.shands.ufl.edu
  • Direct secure messaging: alice.carter.p1@direct.bgclinic.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 4

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1407490097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BELFORT RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566004",
            "telephone_number": "904-398-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GROOVER LOOP STE 200",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866569",
            "telephone_number": "904-398-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ALICE",
        "middle_name": "PHARIES",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11004640",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11004640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11004640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104875500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.