Nicole A Garcia, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104053 Issued in FL

Practice address

13241 Bartram Park Blvd Unit 2601
Jacksonville, FL 32258-5219

Phone

(904) 298-1800

Fax

(904) 298-1802

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Nicole A Abukhalaf Former name

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Borland Groover Clinic, PAGroup PAC ID 6507761301, 128 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.garcia.p1@direct.bgclinic.nextgenshare.com

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.

• Borland Groover Clinic, PA

  • Gastroenterology Physician
  • Jacksonville, FL
  • NPI 1881644912

  FL

  Medicare reassignment Care Compare group
• Joan D Oleary MD PL

  • Dermatology Physician
  • Orange Park, FL
  • NPI 1467702175
  NPD (past)
• North Florida Acute Care Specialists LLC

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1245489038
  NPD (past)
• North Florida Gastroenterology LLC

  • Gastroenterology Physician
  • Orange Park, FL
  • NPI 1275725343
  NPD (past)
• Putnam Physician Practices, LLC

  • Orthopaedic Surgery Physician
  • Palatka, FL
  • NPI 1780957944
  NPD (past)

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

• Southern Baptist Hospital of Florida Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1609901792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585219",
            "telephone_number": "904-298-1800",
            "fax_number": "904-298-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 2601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585219",
            "telephone_number": "904-298-1800",
            "fax_number": "904-298-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "AD387T",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292750100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ABUKHALAF",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan N Garcia
• Meghan Claire Garcia, CRNA
• Melody Jean Garcia, RDH
• Michael Leon Garcia, R.N., L.M.T.
• Michelle Espanol Garcia, APRN
• Nikol Garcia, MSW, PHD, LCSW
• Nina Garcia
• Rachael Garcia
• Raephael Garcia, CRNA
• Rene Alejandro Garcia, PMHNP

• Medical Physician Assistant in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.

Verify at the official NPI Registry.