RIVERSIDE SPINE & PAIN PHYSICIANS, LLC
NPI 1639208648
Specialist in Jacksonville, FL

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

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

Active since March 05, 2007

7207 GOLDEN WINGS RD STE 100, JACKSONVILLE, FL 32244(904) 389-1010(904) 389-1082 Get Directions Write a Review

NPPES record last updated: July 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2022, Oct 14, 2019, Sep 13, 2018 (3 updates tracked since 2018).

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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 1639208648) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since March 2007. The organization lists Jennifer B Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639208648

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameRIVERSIDE SPINE & PAIN PHYSICIANS, LLC

Location Address7207 GOLDEN WINGS RD STE 100Jacksonville, FL 32244-3324

Mailing Address7207 Golden Wings Rd Ste 100Jacksonville, FL 32244-3324 · (904) 389-1010 · Fax (904) 389-1082

Phone(904) 389-1010

Fax(904) 389-1082

Organization SubpartNo

Authorized OfficialJennifer B BaldockOfficer And Authorized Official · (615) 234-5900

Enumeration DateMarch 5, 2007

Last NPPES UpdateJuly 14, 20223 updates tracked since enumeration

NPPES CertifiedJuly 14, 2022

✔ NPI 1639208648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME83572

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.

7207 GOLDEN WINGS RD STE 100, Jacksonville, FL 32244

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Other Identifiers 2

Other2947648FL · Aetna

Other34167FL · Blue Cross Blue Shield

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Spine & Pain Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 8 clinicians reassign Medicare billing to Riverside Spine & Pain Physicians, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Beric Berlioz, M.D.

Interventional Pain Management

NPI 1093240061

7207 GOLDEN WINGS RD STE 100
Jacksonville, FL 32244

(904) 389-1010

✔ PECOS✔ Accepts MedicareSame address

Cole Linville, D.O.

Physical Medicine and Rehabilitation

NPI 1851735377

7207 GOLDEN WINGS RD STE 100
Jacksonville, FL 32244

(904) 389-1010

✔ PECOS✔ Accepts MedicareSame address

Kisha Thomas, MD

Pain Management

NPI 1962728915

7207 GOLDEN WINGS RD STE 100
Jacksonville, FL 32244

(904) 389-1010

✔ PECOS✔ Accepts MedicareSame address

Andrea Lyles, APRN

Nurse Practitioner

NPI 1386147551

7740 POINT MEADOWS DR STE 6
Jacksonville, FL 32256

(904) 389-1010

✔ PECOS✔ Accepts Medicare11 mi

Jaime Sued, MD

Pain Management

NPI 1346289444

7740 POINT MEADOWS DR STE 607
Jacksonville, FL 32256

(904) 389-1010

✔ PECOS✔ Accepts Medicare11 mi

Andy Wilson, ARNP

Nurse Practitioner

NPI 1023366887

1375 ROBERTS DR SUITE 205
Jacksonville, FL 32250

(904) 389-1010

✔ PECOS✔ Accepts Medicare18 mi

Kimberly Barry, ARNP

Nurse Practitioner

NPI 1508117342

1375 ROBERTS DR STE 205
Jacksonville Beach, FL 32250

(904) 389-1010

✔ PECOS✔ Accepts Medicare18 mi

Douglas Boler, M.D.

Interventional Pain Management

NPI 1558339374

1337 COUNTRY CLUB RD
Gulf Breeze, FL 32563

(850) 735-4907

✔ PECOS322 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1639208648. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Riverside Spine & Pain Physicians, LLC located?

Riverside Spine & Pain Physicians, LLC is located at 7207 Golden Wings Rd Ste 100, Jacksonville, FL 32244. 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.

Is Riverside Spine & Pain Physicians, LLC enrolled in Medicare?

Yes. Riverside Spine & Pain Physicians, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Spine & Pain Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Riverside Spine & Pain Physicians, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Interventional Pain Management (2) and Pain Management (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Riverside Spine & Pain Physicians, LLC accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Riverside Spine & Pain Physicians, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverside Spine & Pain Physicians, LLC was last updated on July 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.