Individual provider Active NPI

Karen Watts McCarthy, M.D.

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1831125871
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME05537 Issued in FL
Practice address
905 Beach Boulevard
Jacksonville, FL 32250
Phone
(904) 241-8300
Fax
(904) 241-0831
NPI assigned
Jun 23, 2006
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME05537 FL Primary

Addresses

Primary practice location

905 Beach Boulevard
Jacksonville, FL 32250

Mailing address

905 Beach Blvd
Jacksonville, FL 32250-4303
Phone (904) 241-8300

Other identifiers 3

IdentifierTypeStateIssuer
10942OtherFLBCBS
05178100MedicaidFL
110044594OtherFLMEDICARE RAILROAD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000536 FL Practitioner - Internal Medicine 1153356829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME05537FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jorge a Aguilar MD PA Internal Medicine CurrentSince Jun 1, 2010 Accepting new patients
Beaches Family Medicine PA PastSince Aug 28, 2022 Accepting new patients

Locations

905 Beach Blvd
Jax Bch, FL 32250
Phone (904) 241-8300

905 Beach Blvd
Ste A
Jax Bch, FL 32250
Phone (904) 241-8300

Interoperability endpoints

  • Direct secure messaging: karen.mccarthy.1@18516.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1831125871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322504303",
            "telephone_number": "904-241-8300",
            "fax_number": "904-241-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 BEACH BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-241-8300",
            "fax_number": "904-241-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "KAREN",
        "middle_name": "WATTS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME05537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10942",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05178100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110044594",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.