Cogent Healthcare of Jacksonville, LLC
Organization Active NPI Internal Medicine Physician · Jacksonville, FL
NPI 1124252333 · NPPES record last updated Mar 7, 2025
Key facts
- NPI
- 1124252333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COGENT HEALTHCARE OF JACKSONVILLE, LLC
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 244-3850
- Fax
- (904) 244-4799
- NPI assigned
- May 4, 2009
- Organization subpart
- No
Authorized official
- Name
- Laura Fall
- Title
- Manager
- Phone
- (253) 682-6040
Other NPIs on the same Medicare enrollment 3
Member of 1
Practitioners 450
-
Adefemi Adeyemo, MD
-
Sadaf Afraz, DO
-
Malhar Agarwal, MD
-
Claudine Aguilera, M.D.
-
Atif Mir Ali, M.D.
-
Azzat A Ali, MD
-
Muhammad M Ali, MD
-
Hassan Alkhatib, M.D
-
Sarah Ann Anderson, M.D.
-
Sarah Applewhite, ARNP
-
MD Shahed Arzu, M.D.
-
Xavier Atencio, M.D.
-
Akash K Attreya, D.O.
-
Muhammad Aziz, M.D.
-
Leor Azoulay, MD
-
Steven Badami, MD
-
Rachel Baerga-Duperoy, M.D.
-
Abdalagani A. Baher, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090824000043 | FL | Part B Supplier - Clinic/Group Practice | 1759435944 |
Receives reassigned benefits from 446 practitioners 3 other NPIs on this enrollment |
National Provider Directory
Locations
Use Dp7170
Los Angeles, CA 90074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Hospitalist Physician |
208M00000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
5410 Maryland Way
Suite 300
Brentwood, TN 37027-5064
Phone (615) 377-5600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001651500 | Medicaid | FL | |
| 00A4D | Other | FL | BLUE CROSS/BLUE SHIELD OF FLORIDA |
Other providers in Jacksonville, FL
- Stephanie Marie Coffey
- David Lee Coffman
- Mariel Coffy
- Carlotta Cofield
- Kevin Michael Cofran
- Cogent Healthcare of Jacksonville, LLC
- Cogent Healthcare of Pensacola LLC
- James Chandler Coggins II
- Jade Marie Cognetti
- Cognitive Care and Consulting, LLC
All providers in Jacksonville, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.