Active NPI
Cody Lee Perrigo, APRN
- Acute Care Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN11001075
- Practice address
- 4266 Sunbeam Rd
Jacksonville, FL 32257-2425 - Phone
- (904) 407-7710
- Fax
- (904) 407-8131
- NPI assigned
- Feb 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11001075 | FL | Primary |
Addresses
Primary practice location
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Mailing address
4266 Sunbeam Rd
Jacksonville, FL 32257-2425
Phone (904) 253-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102745900 | Medicaid | FL |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Jacksonville, FL 32257
Phone (904) 407-7710
Hospital & facility affiliations
- Alivia Home Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.86 of 100
- Quality
- 85.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11001075 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Respiratory Critical Care and Sleep Medicine Associates,Inc | Current | Accepting new patients | |
| Alivia Care Solutions, Inc. | Current | Accepting new patients | |
| Alivia Care Solutions, Inc. | Current | Accepting new patients |
Locations
1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910
1325 San Marco Blvd
Ste 300
Jacksonville, FL 32207
Phone (904) 202-4243
4266 Sunbeam Rd
Jacksonville, FL 32257
Phone (904) 268-5200
1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jacksonville, FL
- NPI 1043979453
-
- Pulmonary Disease Physician
- Jacksonville, FL
- NPI 1386622629
-
- Primary Care Nurse Practitioner
- Jacksonville, FL
- NPI 1487407235
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1386908473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1164989596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4266 SUNBEAM RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322572425",
"telephone_number": "904-253-6910",
"fax_number": "904-407-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4266 SUNBEAM RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322572425",
"telephone_number": "904-407-7710",
"fax_number": "904-407-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIGO",
"first_name": "CODY",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11001075",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102745900",
"state": "FL"
}
],
"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 May 20, 2025; 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.