Gregory Matthew Cobb, ARNP
Individual provider Active NPI Family Nurse Practitioner · Dunnellon, FL
NPI 1235512401 · NPPES record last updated Jul 30, 2020
Key facts
- NPI
- 1235512401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9165577 (FL)
- Practice address
- 10567 N Circle M Ave
Dunnellon, FL 34433-2806 - Phone
- (352) 322-0534
- NPI assigned
- Jul 7, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.65 of 100
- Quality
- 90.03
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151209002627 | FL | Practitioner - Nurse Practitioner | 4385945765 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9165577 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solantic/South Florida, LLC | Current |
Accepting new patients | |
| Shands/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Hma/Solantic Joint Venture, LLC | Current |
Accepting new patients | |
| Sheridan Emergency Physician Services, Inc | Current |
Accepting new patients | |
| Solantic of Jacksonville, LLC | Current |
Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current |
Accepting new patients | |
| Physicians of Central Florida PA | Current |
Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Current | Accepting new patients | |
| Physicians of Central Florida, LLC | Current |
Accepting new patients | |
| Tampa Bay Emergency Physicians-Heartland LLC | Current |
Accepting new patients | |
| Florida Em-I Medical Services PA | Past | Accepting new patients |
Locations
4450 N State Road 7
Ste 1
Coral Springs, FL 33073
Phone (423) 408-7220
3925 NW 43rd St
Gainesville, FL 32606
Phone (352) 371-1777
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337
13460 Beach Blvd
Ste 1
Jacksonville, FL 32224
Phone (904) 854-1700
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
2415 SW College Rd
Ocala, FL 34471
Phone (352) 237-3536
9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200
735 S 5th Ave
Wauchula, FL 33873
Phone (863) 402-3402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9165577 | FL | Yes |
Addresses
Primary practice location
10567 N Circle M Ave
Dunnellon, FL 34433-2806
Mailing address
10250 SE 167TH Place Rd
Ste 5-3
Summerfield, FL 34491-8686
Phone (352) 322-0534
NPI Registry JSON
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1235512401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10250 SE 167TH PLACE RD",
"address_2": "STE 5-3",
"city": "SUMMERFIELD",
"state": "FL",
"postal_code": "344918686",
"telephone_number": "352-322-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10567 N CIRCLE M AVE",
"city": "DUNNELLON",
"state": "FL",
"postal_code": "344332806",
"telephone_number": "352-322-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "GREGORY",
"middle_name": "MATTHEW",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-07",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9165577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunnellon, FL
- Andrea Dawn Clarke
- Francheskah U Cleophat
- Julianah Cleophat
- Amelia Promise Clifton
- Cnjuenger
- Community Homecare Services, Inc.
- Community Love Companionship Inc
- Community-Based Services & Consulting Group, Inc.
- Confidential Care Services, LLC
- Madison Rose Conner
All providers in Dunnellon, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2020. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.