Individual provider Active NPI

Perry J Cole, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
National Provider Identifier
1053417428
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME83999 Issued in FL
Practice address
3100 University Blvd S
Suite 300
Jacksonville, FL 32216-2742
Phone
(904) 274-8813
Fax
(904) 503-4465
NPI assigned
Sep 15, 2006
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME83999 FL Primary

Addresses

Primary practice location

3100 University Blvd S
Suite 300
Jacksonville, FL 32216-2742

Mailing address

3100 University Blvd S
Suite 300
Jacksonville, FL 32216-2742
Phone (904) 274-8813

Other identifiers 3

IdentifierTypeStateIssuer
271976200MedicaidFL
62728OtherFLBCBS
614424600OtherFLOWCP - FECA

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
I20050407000130 FL Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 8921055351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orles Pain Management and Regenerative Medicine GRPGroup PAC ID 7517298706, 3 clinicians

Practice addresses (Care Compare)

3100 University Blvd S
Suite 300
Jacksonville, FL 32216-2742
Phone (904) 274-8813

3100 University Blvd S
Suite 300
Jacksonville, FL 32216-2752

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Accmed Healthcare Systems Inc CurrentSince Jan 22, 2019 Accepting new patients
Orles Pain Management & Regenerative Medicine GRP CurrentSince Dec 1, 2019 Accepting new patients

Locations

3100 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 274-8813

4131 University Blvd S
Ste 12
Jacksonville, FL 32216
Phone 90427488131010

6816 Southpoint Pkwy
Ste 302
Jacksonville, FL 32216
Phone (904) 527-3135

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGEICD

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1053417428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162742",
            "telephone_number": "904-274-8813",
            "fax_number": "904-503-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S",
            "address_2": "SUITE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162742",
            "telephone_number": "904-274-8813",
            "fax_number": "904-503-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "PERRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME83999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271976200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62728",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP - FECA",
            "identifier": "614424600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.