OrganizationActive
Cogent Healthcare of Jacksonville, LLC
NPI 1154078483 · Internal Medicine Physician · Crystal River, FL
Provider details
- NPI number
- 1154078483
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Harlan, Director of Payer Enrollment(615) 577-6340
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Se 8th Ave
Crystal River, FL 34429-4855
Phone: (239) 310-5907
Street-level locationGet directions
Mailing address
5410 Maryland Way Ste 300
Brentwood, TN 37027-5339
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
- Certified
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.