JACKSONVILLE OUTPATIENT SURGERY CENTER, LLC
NPI 1093276859
Clinic/Center - Ambulatory Surgical in Orange Park, FL

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

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

Active since March 26, 2019CLIA 10D2259603 · Waiver

1731 WELLS RD SUITE 200, ORANGE PARK, FL 32073(904) 385-2162(904) 385-2176 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 2, 2022, Feb 11, 2021 (2 updates tracked since 2021).

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About Jacksonville Outpatient Surgery Center, Llc NPPES

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

JACKSONVILLE OUTPATIENT SURGERY CENTER, LLC (NPI 1093276859) is a healthcare organization registered as an ambulatory surgical in Orange Park, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Joshua Helms, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1093276859

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameJACKSONVILLE OUTPATIENT SURGERY CENTER, LLC

Location Address1731 WELLS RD SUITE 200Orange Park, FL 32073-2322

Mailing AddressPo Box 628768Orlando, FL 32862-8768 · (813) 549-2134

Phone(904) 385-2162

Fax(904) 385-2176

Organization SubpartNo

Authorized OfficialJoshua HelmsChief Executive Officer · (813) 549-2134

Enumeration DateMarch 26, 2019

Last NPPES UpdateJune 26, 20232 updates tracked since enumeration

NPPES CertifiedJune 26, 2023

✔ NPI 1093276859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1731 WELLS RD SUITE 200, Orange Park, FL 32073

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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 10D2259603

Jacksonville Outpatient Surgery Center LLC · Orange Park, FL

Active · expires May 8, 2028

CLIA Number10D2259603

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateMay 9, 2026

Certificate Expiration DateMay 8, 2028

Laboratory DirectorRonald Hayes

Laboratory Phone(904) 385-2162

Laboratory LocationJacksonville Outpatient Surgery Center LLC1731 Wells Road Suite 200, Orange Park, FL 32073

CLIA data matches this NPI record on: Address Name Phone

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

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.

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.

27 services19 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.

21 services15 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.

15 services12 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.

15 services11 patients

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 Jacksonville Outpatient Surgery Center, LLC's NPI number?

The NPI number for Jacksonville Outpatient Surgery Center, LLC is 1093276859. It was assigned to this organization in the NPPES registry on March 26, 2019.

Where is Jacksonville Outpatient Surgery Center, LLC located?

Jacksonville Outpatient Surgery Center, LLC is located at 1731 Wells Rd Suite 200, Orange Park, FL 32073. The listed phone number is (904) 385-2162.

What is Jacksonville Outpatient Surgery Center, LLC's specialty?

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

Does Jacksonville Outpatient Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2259603) is associated with this NPI, valid through May 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacksonville Outpatient Surgery Center, LLC accept?

Health plans from Oscar Health Maintenance Organization of Florida list Jacksonville Outpatient Surgery Center, 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 Jacksonville Outpatient Surgery Center, LLC was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.