CENTURION SURGERY CENTER OF JACKSONVILLE, LLC
NPI 1053059220
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is Centurion Surgery Center Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since May 26, 2022

5191 FIRST COAST TECH PKWY, 1ST FLOOR, JACKSONVILLE, FL 32224(904) 593-5146(904) 593-6642 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2024, Oct 25, 2022, Oct 20, 2022 and 2 more (5 updates tracked since 2022).

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About Centurion Surgery Center Of Jacksonville, Llc NPPES

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

CENTURION SURGERY CENTER OF JACKSONVILLE, LLC (NPI 1053059220), doing business as Centurion Surgery Center Of Jacksonville, is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since May 2022. The organization lists Alicia M Groth, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1053059220

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCENTURION SURGERY CENTER OF JACKSONVILLE, LLC

Location Address5191 FIRST COAST TECH PKWY, 1ST FLOORJacksonville, FL 32224

Mailing Address5191 First Coast Tech Pkwy Fl 1Jacksonville, FL 32224-0609 · (904) 593-5146 · Fax (904) 593-6642

Phone(904) 593-5146

Fax(904) 593-6642

Organization SubpartNo

Authorized OfficialAlicia M GrothCredentialing Manager · (904) 223-3321

Enumeration DateMay 26, 2022

Last NPPES UpdateFebruary 25, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2026

✔ NPI 1053059220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

5191 FIRST COAST TECH PKWY, Jacksonville, FL 32224

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Other Names 1

Doing Business AsCenturion Surgery Center Of Jacksonville

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 10D2263984

Centurion Surgery Center Of Jacksonville · Jacksonville, FL

Expired · Jul 7, 2026

CLIA Number10D2263984

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 8, 2024

Certificate Expiration DateJuly 7, 2026

Laboratory DirectorClaudio Vincenty

Laboratory Phone(904) 322-3324

Laboratory LocationCenturion Surgery Center Of Jacksonville5191 First Coast Tech Parkway, 1st Floor, Jacksonville, FL 32224

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 21

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.

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

1,031 services350 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

781 services378 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

692 services368 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

475 services160 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

321 services160 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

300 services147 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

286 services110 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

196 services194 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

178 services147 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

155 services128 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

84 services84 patients

Injection of cell or tissue-based material into spinal disc of lower back accessed through skin, first level 0627T

This procedure involves injecting cell or tissue-based material into a spinal disc in the lower back. It's done through the skin and aims to treat back pain or disc problems. It's a minimally invasive procedure, often performed under local anesthesia.

41 services38 patients

Destruction of nerves supplying joint between spine and pelvis using imaging guidance 64625

This procedure involves the use of imaging technology to accurately locate and destroy specific nerves in the joint between your spine and pelvis. The goal is to reduce pain by interrupting the nerve signals responsible for your discomfort.

34 services20 patients

Insertion of programmable spinal canal drug infusion pump 62362

The insertion of a programmable spinal canal drug infusion pump is a procedure that involves placing a small pump under your skin. This pump delivers medication directly into your spinal canal to help manage chronic pain or muscle spasticity. It's often adjustable for personalized treatment.

32 services32 patients

Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones 64628

This procedure involves the use of heat to disable the basivertebral nerve within the first two bones of your lower spine. It's done to alleviate chronic lower back pain. It's a safe, minimally invasive procedure with a quick recovery time.

27 services27 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

22 services21 patients

Insertion, revision, or repositioning of spinal canal tube for medication administration 62350

This procedure involves placing, adjusting, or repositioning a tube in your spinal canal. This tube allows for direct administration of medication to the spine. It's typically done under local anesthesia and helps in managing conditions like chronic pain.

20 services20 patients

Destruction of nerve branches of knee using imaging guidance 64624

This procedure involves the use of imaging technology to accurately locate and destroy specific nerve branches in the knee. This can help reduce chronic knee pain. The procedure is minimally invasive and usually performed under local anesthesia.

19 services12 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

18 services15 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

16 services13 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

12 services12 patients

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Other Providers at the Same Location NPPES 11

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

DAVID RYAN SALEK M.D.

Pain Medicine (Interventional Pain Medicine)

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

DR. CLAUDIO E VINCENTY M.D.

Pain Medicine (Interventional Pain Medicine)

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

ELIZABETH BETTIS

Physician Assistant

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

HIRAM CARRASQUILLO M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

5191 FIRST COAST TECH PKWY
JACKSONVILLE, FL 32224

Duval County (904) 675-4000

JOHN HALE PA

Physician Assistant

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

CHRISTINA CATES PA

Physician Assistant

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

COURTNEY SARAH DELAPARTE APRN

Nurse Practitioner (Family)

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

HELENA GAITAN

Physician Assistant

5191 FIRST COAST TECH PKWY, 3RD FLOOR
JACKSONVILLE, FL 32224

Duval County (904) 223-3321

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 Centurion Surgery Center Of Jacksonville, LLC's NPI number?

The NPI number for Centurion Surgery Center Of Jacksonville, LLC is 1053059220. It was assigned to this organization in the NPPES registry on May 26, 2022. The provider is doing business as Centurion Surgery Center Of Jacksonville.

Where is Centurion Surgery Center Of Jacksonville, LLC located?

Centurion Surgery Center Of Jacksonville, LLC is located at 5191 First Coast Tech Pkwy 1st Floor, Jacksonville, FL 32224. The listed phone number is (904) 593-5146.

What is Centurion Surgery Center Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

What insurance does Centurion Surgery Center Of Jacksonville, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Centurion Surgery Center Of Jacksonville, 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 Centurion Surgery Center Of Jacksonville, LLC was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

About Centurion Surgery Center Of Jacksonville, Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Other Names 1

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 10D2263984

Areas of Expertise CMS Part B claims 21

Other Providers at the Same Location NPPES 11

Frequently Asked Questions NPPES & CMS

What is Centurion Surgery Center Of Jacksonville, LLC's NPI number?

Where is Centurion Surgery Center Of Jacksonville, LLC located?

What is Centurion Surgery Center Of Jacksonville, LLC's specialty?

What insurance does Centurion Surgery Center Of Jacksonville, LLC accept?

When was this NPI record last updated?

Certificate of Waiver 10D2263984