NPIMap

Individual provider Active NPI

Donna Jeannette Cothren

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1255703302
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9167134 Issued in FL
Practice address
4319 Salisbury Rd Ste 103
Jacksonville, FL 32216-0941
Phone
(904) 570-9404
NPI assigned
Oct 28, 2015
Last updated
Nov 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9167134 FL Primary

Addresses

Primary practice location

4319 Salisbury Rd Ste 103
Jacksonville, FL 32216-0941

Mailing address

6387 Church Ave
Bryceville, FL 32009-1838
Phone (904) 424-7804

Other names 1

  • Mrs. Donna Jeannette Watson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001498 FL Practitioner - Nurse Practitioner 0840592028 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians
My Choice Operating Company LLCGroup PAC ID 3779991542, 60 clinicians

Practice addresses (Care Compare)

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221-8064
Phone (904) 379-7155

4655 Salisbury Rd
Suite 220
Jacksonville, FL 32256-0959
Phone (904) 570-9404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9167134FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Vision LLC CurrentSince Jan 12, 2016 Accepting new patients
My Choice Operating Company LLC CurrentSince Apr 19, 2021 Accepting new patients
Mobile Medical Operating Company LLC CurrentSince Oct 26, 2022 Accepting new patients
Physicians Group Services PA CurrentSince Aug 1, 2025 Accepting new patients
Physicians Group Services PA CurrentSince Aug 1, 2025 Accepting new patients
Physicians Group Services PA Family Current Accepting new patients

Locations

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221
Phone (904) 379-7155

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

4319 Salisbury Rd
Ste 103
Jacksonville, FL 32216
Phone (904) 570-9404

4655 Salisbury Rd
Ste 110
Jacksonville, FL 32256
Phone (904) 570-9404

4655 Salisbury Rd
Ste 220
Jacksonville, FL 32256
Phone (904) 570-9404

6817 Southpoint Pkwy
Ste 203
Jacksonville, FL 32216
Phone (904) 256-9202

7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256
Phone (904) 231-1204

1840 SE Port St Lucie Blvd
Ste 1840
Port St Lucie, FL 34952
Phone (772) 221-7620

Interoperability endpoints

  • Direct secure messaging: donna.cothren.1@16002.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1255703302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6387 CHURCH AVE",
            "city": "BRYCEVILLE",
            "state": "FL",
            "postal_code": "320091838",
            "telephone_number": "904-424-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 SALISBURY RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160941",
            "telephone_number": "904-570-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTHREN",
        "first_name": "DONNA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9167134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "WATSON",
            "middle_name": "JEANNETTE",
            "prefix": "MRS.",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.