Active NPI
Charlotte Cotton, M.D.
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1073571550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME 93014
- Practice address
- 6111 Beach Blvd
Jacksonville, FL 32216-2751 - Phone
- (904) 739-1140
- Fax
- (904) 722-9578
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME 93014 | FL | Primary |
Addresses
Primary practice location
6111 Beach Blvd
Jacksonville, FL 32216-2751
Mailing address
270 Main St N
Ste 300
Stillwater, MN 55082-6788
Phone (651) 472-8191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 93014 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1609822592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1073571550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 MAIN ST N",
"address_2": "STE 300",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826788",
"telephone_number": "651-472-8191",
"fax_number": "888-972-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 BEACH BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322162751",
"telephone_number": "904-739-1140",
"fax_number": "904-722-9578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTON",
"first_name": "CHARLOTTE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME 93014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.