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RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
NPI 1124494398
Specialist in Jacksonville, FL

Active since August 11, 2015CLIA Certified · 2 labs
7740 POINT MEADOWS DR STE 6, JACKSONVILLE, FL 32256(904) 389-1010 Get Directions Write a Review

NPPES record last updated: January 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Riverside Spine & Pain Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVERSIDE SPINE & PAIN PHYSICIANS, LLC (NPI 1124494398) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since August 2015. The organization holds 2 active CLIA laboratory certificates and lists Jennifer Boyd Baldock, Officer And Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1124494398
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRIVERSIDE SPINE & PAIN PHYSICIANS, LLC
Location Address7740 POINT MEADOWS DR STE 6Jacksonville, FL 32256-9180
Mailing Address7207 Golden Wings Rd, Suite 100Jacksonville, FL 32244-3324 · (904) 389-1010 · Fax (904) 389-1082
Phone(904) 389-1010
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Offical · (615) 234-5954
Enumeration DateAugust 11, 2015
Last NPPES UpdateJanuary 18, 2023
NPPES CertifiedJanuary 18, 2023
✔ NPI 1124494398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7740 POINT MEADOWS DR STE 6, Jacksonville, FL 32256
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2066412

Riverside Pain Physicians · Jacksonville, FL
Active · expires Sep 25, 2027
CLIA Number10D2066412
Laboratory TypePhysician Office
Certificate Effective DateSeptember 26, 2025
Certificate Expiration DateSeptember 25, 2027
Laboratory DirectorCole Linville
Laboratory Phone(904) 389-1010
Laboratory LocationRiverside Pain Physicians4312 Pablo Professional Ct, Jacksonville, FL 32224
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 10D1084555

Riverside Spine And Pain Physicians Pl · Jacksonville, FL
Active · expires Apr 19, 2027
CLIA Number10D1084555
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorDr. Elvira Barroso
Laboratory Phone(904) 389-1010
Laboratory LocationRiverside Spine And Pain Physicians Pl7740 Point Meadows Drive #6, Jacksonville, FL 32256
CLIA data matches this NPI record on: Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA LEIGH LYLES APRN
Nurse Practitioner
7740 POINT MEADOWS DR STE 6
JACKSONVILLE, FL 32256
Duval County (904) 389-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riverside Spine & Pain Physicians, LLC's NPI number?

The NPI number for Riverside Spine & Pain Physicians, LLC is 1124494398. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Riverside Spine & Pain Physicians, LLC located?

Riverside Spine & Pain Physicians, LLC is located at 7740 Point Meadows Dr Ste 6, Jacksonville, FL 32256. The listed phone number is (904) 389-1010.

What is Riverside Spine & Pain Physicians, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Riverside Spine & Pain Physicians, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Riverside Spine & Pain Physicians, LLC was last updated on January 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.