Grady Gerald Carter, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA200002592 Issued in DC

Practice address

899 North Capitol Street, NE Suite 3100
Washington, DC 20002-5686

Phone

(202) 673-3355

NPI assigned

Apr 21, 2020

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Cep America, LLC

  • Emergency Medicine Physician
  • Miramar Beach, FL
  • NPI 1295442614
  Medicare reassignment
• First Coast Heart & Vascular Center, PA

  • Cardiovascular Disease Physician
  • Jacksonville, FL
  • NPI 1366795742
  Medicare reassignment
• Ibrahim Heart Clinic PLLC

  • Clinical Cardiac Electrophysiology Physician
  • Jacksonville, FL
  • NPI 1629511035
  Medicare reassignment
• Cep America LLC

  • Emergency Medicine Physician
  • Saint Johns, FL
  • NPI 1073200069
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• First Coast Medical Center Inc

  • Chiropractor
  • Jacksonville, FL
  • NPI 1134157217
  NPD
• Pain Relief Institute LLC

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1366314445
  NPD

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1902426851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTH CAPITOL STREET, NE",
            "address_2": "SUITE 3100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025686",
            "telephone_number": "904-673-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 NORTH CAPITOL STREET, NE SUITE 3100",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200025686",
            "telephone_number": "202-673-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Whetstone Pl Ste 102",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865775",
            "country_code": "US",
            "telephone_number": "904-342-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4211 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322066411",
            "country_code": "US",
            "telephone_number": "904-358-8692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "GRADY",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DC",
            "license": "PA200002592",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derrick Carter
• Dyisha Marie Carter
• Elizabeth Carter
• Glenda Charlene Carter
• Gloria Carter
• Gregory B Carter
• Gwen Carter
• James P Carter
• Jared A Carter
• Jean A. Carter, PH.D.

• Medical Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Medical Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.