NPIMap

Individual provider Active NPI

Aria Rae Gibbons, PA

  • Physician Assistant
  • Fleming Island, FL
National Provider Identifier
1902114408
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
014260 Issued in NY
Practice address
2370 Market Dr
Fleming Island, FL 32003-4326
Phone
(904) 264-2601
Fax
(904) 264-6858
NPI assigned
Sep 17, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 014260 NY Primary
Physician Assistant 363A00000X PA1393 ME
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA9120053 FL

Addresses

Primary practice location

2370 Market Dr
Fleming Island, FL 32003-4326

Mailing address

7751 Belfort Pkwy Ste 350
Jacksonville, FL 32256-6951
Phone (904) 363-7453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131125000828 ME Practitioner - Physician Assistant 2264610534 Reassigns benefits to 2 organizations
I20251001000171 FL Practitioner - Physician Assistant 2264610534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Federal St
Alfred, ME 04002-3125

7751 Belfort Pkwy
Suite 350
Jacksonville, FL 32256-6921

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014260NYMDClinical Psychologist
PA1393MEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Sep 14, 2020 Accepting new patients
Mainehealth CurrentSince Jan 1, 2014 Accepting new patients
Mainehealth CurrentSince Sep 14, 2020 Accepting new patients
Cancer Specialists, LLC Multi-Specialty CurrentSince Sep 22, 2025 Accepting new patients
Cancer Specialists, LLC CurrentSince Sep 22, 2025 Accepting new patients
Seacoast Pathology Inc Multi-Specialty Current Accepting new patients

Locations

2370 Market Dr
Fleming Island, FL 32003
Phone (904) 264-6201

7751 Belfort Pkwy
Ste 350
Jacksonville, FL 32256
Phone (904) 363-7453

5742 Booth Rd
Ste A
Jacksonville, FL 32207
Phone (904) 739-7779

159 N 3rd St
Ste E
Macclenny, FL 32063
Phone (904) 388-2619

1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

25 June St
Sanford, ME 04073
Phone (207) 324-4310

25A June St
Ste 111
Sanford, ME 04073
Phone (207) 324-5968

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Interoperability endpoints

  • Direct secure messaging: agibbons156916@direct.mmc.mainehealth.org

Organizations & group practices 8

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1902114408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 BELFORT PKWY STE 350",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566951",
            "telephone_number": "904-363-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 MARKET DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034326",
            "telephone_number": "904-264-2601",
            "fax_number": "904-264-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBONS",
        "first_name": "ARIA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "014260",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA1393",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9120053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.