Individual provider Active NPI

Alice Kimberly Duffey, FNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1831740497
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN181146 Issued in GA
Practice address
1115 Garredd Blvd
Augusta, GA 30909-6758
Phone
(706) 922-4620
NPI assigned
Sep 25, 2019
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23263 SC
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN181146 GA Primary

Addresses

Primary practice location

1115 Garredd Blvd
Augusta, GA 30909-6758

Mailing address

1348 Walton Way Ste 4300
Augusta, GA 30901-5107
Phone (706) 774-4300

Other practice location 1

1348 Walton Way Ste 4300
Augusta, GA 30901-5107
Phone (803) 292-7761 ext. 80329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230214000887 GA Practitioner - Nurse Practitioner 8628440955 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

Practice addresses (Care Compare)

1115 Garredd Blvd
Augusta, GA 30909-6758
Phone (706) 790-4440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23263SCMDFamily Nurse Practitioner
RN181146GAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Improvement Project, Inc CurrentSince Mar 1, 2023 Accepting new patients
Neighborhood Improvement Project Inc CurrentSince Mar 1, 2023 Accepting new patients
Neighborhood Improvement Project, Inc Past Accepting new patients

Locations

1115 Garredd Blvd
Augusta, GA 30909
Phone (706) 922-0101

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

Interoperability endpoints

  • Direct secure messaging: alice.duffey.1@16517.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1831740497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WALTON WAY STE 4300",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309015107",
            "telephone_number": "706-774-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GARREDD BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096758",
            "telephone_number": "706-922-4620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Walton Way Ste 4300",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015107",
            "country_code": "US",
            "telephone_number": "803-292-7761 x80329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUFFEY",
        "first_name": "ALICE",
        "middle_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "23263",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN181146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.