Active NPI
Gregory Charles Tomlinson, MD
- Interventional Cardiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- ME86960
- Practice address
- 7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256-9664 - Phone
- (904) 330-1024
- Fax
- (904) 330-1027
- NPI assigned
- Aug 25, 2005
- Last updated
- Aug 4, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME86960 | FL | |
| Interventional Cardiology Physician | 207RI0011X | ME86960 | FL | Primary |
Addresses
Primary practice location
7807 Baymeadows Rd E
Ste 209
Jacksonville, FL 32256-9664
Mailing address
8773 Perimeter Park CT
Jacksonville, FL 32216-1165
Phone (904) 493-3390
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103467-00 | Other | FL | FL MEDICAID - GROUP |
| 295965 | Other | FL | AVMED |
| 003119716A | Other | GA | GEORGIA MEDICAID - INDIVIDUAL |
| 0015008-00 | Medicaid | FL | |
| 10786680 | Other | FL | CIGNA |
| 004XP | Other | FL | FLORIDA BLUE - GROUP |
| HR822A | Other | FL | FL MEDICARE - GROUP |
| P00030751 | Other | RAILROAD |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86960 | FL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiac Vision LLC | Cardiovascular Disease | Current | Accepting new patients |
| Southpoint Cardiology Associates | Cardiovascular Disease | Past | Accepting new patients |
| Southern Heart Group | Cardiovascular Disease | Past | Accepting new patients |
Locations
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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1144651373
-
dba Diagnostic Cardiology Assoc
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1962484220
-
- Cardiovascular Disease Physician
- Jacksonville, FL
- NPI 1841373115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1639162522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8773 PERIMETER PARK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161165",
"telephone_number": "904-493-3390",
"fax_number": "904-493-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7807 BAYMEADOWS RD E",
"address_2": "STE 209",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322569664",
"telephone_number": "904-330-1024",
"fax_number": "904-330-1027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "GREGORY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME86960",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "FL",
"license": "ME86960",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICAID - GROUP",
"identifier": "0103467-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "295965",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAID - INDIVIDUAL",
"identifier": "003119716A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015008-00",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10786680",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE - GROUP",
"identifier": "004XP",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE - GROUP",
"identifier": "HR822A",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00030751",
"state": null
}
],
"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 Aug 4, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.