JUSTIN COLE PA-C
NPI 1265897789
Physician Assistant in Memphis, TN

Q: What is Justin Cole's NPI number?

The NPI number for Justin Cole is 1265897789. It was assigned to this individual provider in the NPPES registry on December 28, 2015.

Q: What is Justin Cole's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Cole was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since December 28, 2015PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

1325 EASTMORELAND AVE STE 365, MEMPHIS, TN 38104(901) 272-6030(901) 516-8450 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Aug 17, 2023, Jan 10, 2020 and 2 more (5 updates tracked since 2015).

On this page

About Justin Cole Pa-c NPPES

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

JUSTIN COLE PA-C (NPI 1265897789) is an individual physician assistant in Memphis, Tennessee, licensed in Tennessee (2959) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265897789

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJUSTIN COLECredential: PA-C

Location Address1325 EASTMORELAND AVE STE 365Memphis, TN 38104-7542

Mailing AddressPo Box 1000, Dept 960Memphis, TN 38148-0001 · (901) 272-6030 · Fax (901) 516-8450

Phone(901) 272-6030

Fax(901) 516-8450

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateDecember 28, 2015

Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2026

✔ NPI 1265897789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in TN · 2959✔ Licensed in SC · 4967✔ Licensed in FL · PA9120168

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1325 EASTMORELAND AVE STE 365, Memphis, TN 38104

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Secondary Practice Locations 2

Location 12500 Harbor BlvdPort Charlotte, FL 33952-5000 · Phone (407) 303-7283 · Fax (407) 303-0473

Location 2890 W Faris Rd Ste 580Greenville, SC 29605-4281 · Phone (864) 455-7874 · Fax (864) 455-8933

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Cole Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597069658

PECOS Enrollment IDI20200803000758, I20240730001485, I20251119001519

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

63 services45 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services20 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

20 services20 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

RANDALL WILLIAM FRANZ MD

Surgery (Vascular Surgery)