COGENT HEALTHCARE OF JACKSONVILLE, LLC
NPI 1861150625
Internal Medicine in Port Orange, FL

Q: What is Cogent Healthcare Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since November 29, 2021

1515 HERBERT ST STE 210, PORT ORANGE, FL 32129(386) 788-8313 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2025, Nov 29, 2021 (2 updates tracked since 2021).

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About Cogent Healthcare Of Jacksonville, Llc NPPES

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

COGENT HEALTHCARE OF JACKSONVILLE, LLC (NPI 1861150625) is a healthcare organization registered as an internal medicine in Port Orange, Florida and active in the NPI registry since November 2021. The organization lists Laura Fall, Manager, as its authorized official.

NPPES Registry Identity

NPI1861150625

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCOGENT HEALTHCARE OF JACKSONVILLE, LLC

Location Address1515 HERBERT ST STE 210Port Orange, FL 32129-6105

Mailing Address5410 Maryland Way Ste 300Brentwood, TN 37027-5339 · (866) 282-7905

Phone(386) 788-8313

Organization SubpartNo

Authorized OfficialLaura FallManager · (253) 682-6040

Enumeration DateNovember 29, 2021

Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1861150625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1515 HERBERT ST STE 210, Port Orange, FL 32129

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cogent Healthcare Of Jacksonville, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

437

Medicare enrollment records show 437 clinicians reassign Medicare billing to Cogent Healthcare Of Jacksonville, LLC, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Internal Medicine256

Hospitalist52

Nurse Practitioner44

Family Practice42

Critical Care (Intensivists)16

Cardiovascular Disease (Cardiology)5

Anesthesiology3

Nephrology3

10 other specialties16

Nearest to this location (20)

See all 437

Laurette Cornel, ARNP

Nurse Practitioner

NPI 1942691373

1690 DUNLAWTON AVE SUITE 120
Port Orange, FL 32127

(386) 481-6674

✔ PECOS✔ Accepts Medicare1.2 mi

Hassan Alkhatib, M.D

Internal Medicine

NPI 1952630105

1730 DUNLAWTON AVE STE 1
Port Orange, FL 32127

(386) 320-3299

✔ PECOS1.3 mi

Samsor Mateen, M.D.

Internal Medicine

NPI 1407245608

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

(386) 226-4542

✔ PECOS✔ Accepts Medicare5.0 mi

Robert Miller, M.D

Hospitalist

NPI 1063825511

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

(386) 425-4542

✔ PECOS✔ Accepts Medicare5.0 mi

Imran Mirza, MD

Family Practice

NPI 1558500587

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

(386) 425-4000

✔ PECOS✔ Accepts Medicare5.0 mi

Antonio Portilla Cintron, M.D.

Hospitalist

NPI 1700204005

1630 MASON AVE STE C
Daytona Beach, FL 32117

(386) 238-9064

✔ PECOS✔ Accepts Medicare6.1 mi

Rajesh Chawla, M.D

Hospitalist

NPI 1750512828

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

(386) 231-1090

✔ PECOS✔ Accepts Medicare9.1 mi

Adam Wilson, APRN

Nurse Practitioner

NPI 1659913531

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

(386) 231-1500

✔ PECOS✔ Accepts Medicare9.1 mi

Wallace Thomas, M.D.

Pulmonary Disease

NPI 1831490432

305 MEMORIAL MEDICAL PKWY STE 307
Daytona Beach, FL 32117

(386) 231-4351

✔ PECOS✔ Accepts Medicare9.2 mi

Nelson Kazie, MD

Internal Medicine

NPI 1891089744

301 MEMORIAL MEDICAL PKWY
Daytona Beach, FL 32117

(386) 231-1090

✔ PECOS✔ Accepts Medicare9.2 mi

Theresa Huyen, MD

Internal Medicine

NPI 1760675599

1914 SR 44
New Smyrna Beach, FL 32168

(386) 586-7005

✔ PECOS✔ Accepts Medicare9.5 mi

Andres Montanez- Flores, M. D.

Hospitalist

NPI 1902039530

401 PALMETTO ST
New Smyrna Beach, FL 32168

(386) 424-6391

✔ PECOS✔ Accepts Medicare9.8 mi

Abiola Shitta-Bey, MD

Family Practice

NPI 1538365457

401 PALMETTO ST FLORIDA HOSPITAL
New Smyrna, FL 32168

(646) 644-5498

✔ PECOS✔ Accepts Medicare9.8 mi

Margaret Bell, DO

Internal Medicine

NPI 1588891618

770 W GRANADA BLVD STE 304
Ormond Beach, FL 32174

(386) 231-5298

✔ PECOS11 mi

Ibrahim Abdalla Wafik, M.D.

Internal Medicine

NPI 1699722827

875 STERTHAUS AVE
Ormond Beach, FL 32174

(386) 676-0255

✔ PECOS✔ Accepts Medicare11 mi

Steven Grieper, D.O.

Internal Medicine

NPI 1508830761

303 NORTH CLYDE MORRIS BLVD
Daytona, FL 32120

(386) 425-4035

✔ PECOS✔ Accepts Medicare12 mi

Nwamaka Onyeozili, MD

Internal Medicine

NPI 1972023836

60 MEMORIAL MEDICAL PKWY
Palm Coast, FL 32164

(386) 586-1580

✔ PECOS✔ Accepts Medicare26 mi

Andrea Thompson, NP

Nurse Practitioner

NPI 1346717881

600 N PEACH ST
Bunnell, FL 32110

(386) 237-4032

✔ PECOS✔ Accepts Medicare27 mi

Sayed Husain, M.D.

Nephrology

NPI 1780989376

631 PALM SPRINGS DR STE 104
Altamonte Springs, FL 32701

(407) 265-2540

✔ PECOS✔ Accepts Medicare38 mi

Kai Chen, MD

Cardiovascular Disease (Cardiology)

NPI 1225561855

689 E ALTAMONTE DR
Altamonte Springs, FL 32701

(407) 767-7262

✔ PECOS✔ Accepts Medicare38 mi

See all 437 clinicians

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 Cogent Healthcare Of Jacksonville, LLC's NPI number?

The NPI number for Cogent Healthcare Of Jacksonville, LLC is 1861150625. It was assigned to this organization in the NPPES registry on November 29, 2021.

Where is Cogent Healthcare Of Jacksonville, LLC located?

Cogent Healthcare Of Jacksonville, LLC is located at 1515 Herbert St Ste 210, Port Orange, FL 32129. The listed phone number is (386) 788-8313.

What is Cogent Healthcare Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cogent Healthcare Of Jacksonville, LLC enrolled in Medicare?

Yes. Cogent Healthcare Of Jacksonville, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cogent Healthcare Of Jacksonville, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 437 clinicians in 18 Medicare specialties reassign their Medicare billing to Cogent Healthcare Of Jacksonville, 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 Internal Medicine (256), Hospitalist (52) and Nurse Practitioner (44). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cogent Healthcare Of Jacksonville, LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.