Individual provider Active NPI

Cole Robert Linville, D.O.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
National Provider Identifier
1851735377
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
OS14807 Issued in FL
Practice address
7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324
Phone
(904) 389-1010
Fax
(904) 389-1082
NPI assigned
Apr 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X OS14807 FL Primary

Addresses

Primary practice location

7207 Golden Wings Rd Ste 100
Jacksonville, FL 32244-3324

Mailing address

1120 NW 14 St
Suite 955
Miami, FL 33136

Other practice location 1

101 Century 21 Dr Ste 206
Jacksonville, FL 32216-9293
Phone (904) 374-0594

Other identifiers 1

IdentifierTypeStateIssuer
D25HKOtherFLBLUE CROSS BLUE SHIELD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171012001372 FL Practitioner - Physical Medicine and Rehabilitation 9638444995 Reassigns benefits to 2 organizations
Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Riverside Spine and Pain Physicians LLCGroup PAC ID 9931092814, 10 clinicians

Practice addresses (Care Compare)

101 Century 21 Dr
Suite 206
Jacksonville, FL 32216-9293
Phone (904) 374-0594

484 Riverside Ave
Jacksonville, FL 32202-4912

7207 Golden Wings Rd
Suite 100
Jacksonville, FL 32244-3324
Phone (904) 389-1010

Hospital & facility affiliations

  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14807FLMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Spine & Pain Physicians, LLC CurrentSince Mar 15, 2021 Accepting new patients
Patient Focus Physicians Associates Inc CurrentSince Sep 1, 2020 Accepting new patients
Riverside Spine & Pain Physicians, LLC CurrentSince Mar 15, 2021 Accepting new patients

Locations

101 Century 21 Dr
Ste 206
Jacksonville, FL 32216
Phone (904) 374-0594

7207 Golden Wings Rd
Ste 100
Jacksonville, FL 32244
Phone (904) 244-3199

Interoperability endpoints

  • Direct secure messaging: cole.linville.p1@direct.riversidepain.nextgenshare.com
  • Direct secure messaging: cole.linville.1@33498.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1851735377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 NW 14 ST",
            "address_2": "SUITE 955",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 GOLDEN WINGS RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322443324",
            "telephone_number": "904-389-1010",
            "fax_number": "904-389-1082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Century 21 Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322169293",
            "country_code": "US",
            "telephone_number": "904-374-0594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "COLE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "OS14807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "D25HK",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.