Active NPI
Allison M Fries, PA
- Medical Physician Assistant
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9106610
- Practice address
- 2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233 - Phone
- (904) 265-7020
- Fax
- (904) 621-0566
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9106610 | FL | Primary |
Addresses
Primary practice location
2700 Riverside Ave Ste 2
Jacksonville, FL 32205-8233
Mailing address
705 Wells Rd Ste 300
Orange Park, FL 32073-2982
Phone (904) 282-6331
Other practice location 1
3625 University Blvd S
Jacksonville, FL 32216-4222
Phone (904) 702-6111
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1564 Kingsley Ave
Suite 300
Orange Park, FL 32073-4521
Phone (904) 264-8801
1811 Blanding Blvd
Suite 102
Middleburg, FL 32068-4935
Phone (904) 661-2394
1906 Southside Blvd
Jacksonville, FL 32216-1930
Phone (904) 724-3083
421 Kingsley Ave
Orange Park, FL 32073-4898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9106610 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Group Services PA | Current | Accepting new patients | |
| Physicians Group Services PA | Current | Accepting new patients | |
| Kingsley Avenue Emergency Physicians LLC | Past | Accepting new patients | |
| Physicians Group Services PA | Past | Accepting new patients |
Locations
1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083
2700 Riverside Ave
Ste 2
Jacksonville, FL 32205
Phone (904) 264-8801
705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474
1564 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 264-8801
463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080
Interoperability endpoints
- allison.fries.1@25110.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Orange Park, FL
- NPI 1861440810
-
- Durable Medical Equipment & Medical Supplies
- Middleburg, FL
- NPI 1699170035
-
- Emergency Medicine Physician
- Orange Park, FL
- NPI 1679915300
-
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
- NPI 1528371051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1447512397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 WELLS RD STE 300",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320732982",
"telephone_number": "904-282-6331",
"fax_number": "904-332-4339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 RIVERSIDE AVE STE 2",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322058233",
"telephone_number": "904-265-7020",
"fax_number": "904-621-0566"
}
],
"practiceLocations": [
{
"address_1": "3625 University Blvd S",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322164222",
"country_code": "US",
"telephone_number": "904-702-6111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIES",
"first_name": "ALLISON",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9106610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.