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Active NPI 1366727596 Individual Practitioner Female Practitioner

Carly Little Conner , PA-C

Physician Assistant • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Carly Conner, PA-C is a certified Physician Assistant practicing in Jacksonville, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Carly Conner delivers high-quality medical care to the local community at 807 CHILDRENS WAY.

Carly Conner is affiliated with St Vincent'S Full Service Urgent Care, Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

807 Childrens Way
Nemours Childrens Clinic,

Jacksonville, FL 322078426

Telephone 9046973600
Fax 9046973927
Associated Practice Facility / Clinic
🏢 The Nemours Foundation Facility NPI 1265585806

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Jacksonville, FL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +3.8 yrs vs City Avg
City Avg: 11.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
844 Specialists

Practicing in Jacksonville, FL (10376 Statewide)

Telehealth Adoption Rate
20.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Conner (15 Years) 15 Yrs
Jacksonville Specialty Average (11.2 Years) 11.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
88 81 $331.57 $105.52
99213 Established patient office or other outpatient visit, typically 15 minutes
28 28 $228.93 $75.11
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
27 26 $93.00 $68.88
81003 Automated urinalysis test
23 23 $8.91 $2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $464.72 $139.71

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106018

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Florida Dept. Of Health
PA9106018 (FL)

Hospital & Practice Group Affiliations

St Vincent's Full Service Urgent Care, Llc

10058 Baymeadows Rd, Jacksonville, FL 322567177

Phone: 9044508020

St Vincent's Full Service Urgent Care, Llc

7963 Normandy Blvd, Jacksonville, FL 322216640

Phone: 9047860440

St Vincent's Full Service Urgent Care, Llc

10503 San Jose Blvd, Jacksonville, FL 322576295

Phone: 9044506700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacqueline Noe

Physician Assistant

NPI 1013000488
Kelly Summers , ARNP

Nurse Practitioner

NPI 1023531043

Advanced Registered Nurse Practitioner

Caitlin Thomas , APRN

Nurse Practitioner - Pediatrics

NPI 1023820255

Advanced Practice Registered Nurse

Dr. Robert Sprecher , MD

Otolaryngology - Pediatric Otolaryngology

NPI 1033139480

Doctor of Medicine (M.D.)

Whitney Law , PA

Physician Assistant

NPI 1053664870

Physician Assistant

Dr. Stacy White , MD

Radiology - Pediatric Radiology

NPI 1053750323

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2016

Registered at 807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC,, JACKSONVILLE, FL 322078426 (Tel: 9046973600)

📍
Updated Business Mailing Address June 30, 2016

Registered at 7963 NORMANDY BLVD, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 322216640 (Tel: 9047860440)

👤
Provider Name / Credentials Updated June 30, 2016

Recorded as CARLY CONNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2016

Physician Assistant (License #PA9106018 in FL)

🟢
Initial NPI Registration & Enumeration October 19, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366727596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 19, 2011
Last Update: June 30, 2016
Sole Proprietor: No

Mailing Address

7963 Normandy Blvd, Provider Enrollment Department

Jacksonville, FL 322216640

Phone: 9047860440

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.