SURGCENTER OF GREATER JACKSONVILLE, LLC
NPI 1104485440
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is Surgcenter Of Greater Jacksonville, LLC's specialty?

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

Active since June 11, 2019CLIA 10D2169188 · Waiver

9143 PHILIPS HWY STE 500, JACKSONVILLE, FL 32256(904) 233-0597 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2024, Mar 15, 2023, Jul 28, 2022 and 1 more (4 updates tracked since 2019).

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About Surgcenter Of Greater Jacksonville, Llc NPPES

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

SURGCENTER OF GREATER JACKSONVILLE, LLC (NPI 1104485440) is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through July 16, 2027 and lists Collin Lemaistre, Market President, as its authorized official.

NPPES Registry Identity

NPI1104485440

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameSURGCENTER OF GREATER JACKSONVILLE, LLC

Location Address9143 PHILIPS HWY STE 500Jacksonville, FL 32256-1335

Mailing Address14201 Dallas PkwyDallas, TX 75254-2916 · (469) 893-2500

Phone(904) 233-0597

Organization SubpartNo

Authorized OfficialCollin LemaistreMarket President · (214) 213-0723

Enumeration DateJune 11, 2019

Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1104485440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

9143 PHILIPS HWY STE 500, Jacksonville, FL 32256

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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 10D2169188

Surgcenter Of Greater Jacksonville LLC · Jacksonville, FL

Active · expires Jul 16, 2027

CLIA Number10D2169188

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateJuly 17, 2025

Certificate Expiration DateJuly 16, 2027

Laboratory DirectorJeffrey Burnette

Laboratory Phone(904) 233-0597

Laboratory LocationSurgcenter Of Greater Jacksonville LLC9143 Phillips Hwy Ste 500, Jacksonville, FL 32256

CLIA data matches this NPI record on: Name Phone

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

Areas of Expertise CMS Part B claims 15

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, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

3,059 services13 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

77 services68 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

72 services63 patients

Imaging guidance for procedure, 60 minutes or less 76000

Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.

55 services51 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

31 services28 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

23 services21 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

20 services20 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

17 services15 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

16 services16 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

16 services15 patients

Repair of tendon, finger, and/or palm of hand 26145

This procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.

15 services11 patients

Transfer of tendon to back of hand 26480

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

14 services14 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

12 services12 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope 29828

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

11 services11 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

11 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 Surgcenter Of Greater Jacksonville, LLC's NPI number?

The NPI number for Surgcenter Of Greater Jacksonville, LLC is 1104485440. It was assigned to this organization in the NPPES registry on June 11, 2019.

Where is Surgcenter Of Greater Jacksonville, LLC located?

Surgcenter Of Greater Jacksonville, LLC is located at 9143 Philips Hwy Ste 500, Jacksonville, FL 32256. The listed phone number is (904) 233-0597.

What is Surgcenter Of Greater Jacksonville, LLC's specialty?

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

Does Surgcenter Of Greater Jacksonville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2169188) is associated with this NPI, valid through July 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgcenter Of Greater Jacksonville, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Surgcenter Of Greater 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 Surgcenter Of Greater Jacksonville, LLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.