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JACKSONVILLE PAIN CENTER PA
NPI 1114114303
Pain Medicine - Interventional Pain Medicine in Jacksonville, FL

Active since October 01, 2007CLIA 10D1091402 · Waiver
9421 WAYPOINT PL, JACKSONVILLE, FL 32257(904) 268-8200(904) 268-8298 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacksonville Pain Center Pa NPPES

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

JACKSONVILLE PAIN CENTER PA (NPI 1114114303) is a healthcare organization registered as an interventional pain medicine in Jacksonville, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Hemant Shah, President/ Owner, as its authorized official.

NPPES Registry Identity

NPI1114114303
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameJACKSONVILLE PAIN CENTER PA
Location Address9421 WAYPOINT PLJacksonville, FL 32257-9229
Mailing AddressPo Box 600290Jacksonville, FL 32260-0290 · (904) 268-8200
Phone(904) 268-8200
Fax(904) 268-8298
Organization SubpartNo
Authorized OfficialHemant ShahPresident/ Owner · (904) 268-8200
Enumeration DateOctober 1, 2007
Last NPPES UpdateDecember 21, 2010
✔ NPI 1114114303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in FL · ME95262
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
9421 WAYPOINT PL, Jacksonville, FL 32257
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 10D1091402

Jacksonville Pain Center · Jacksonville, FL
Active · expires Oct 30, 2026
CLIA Number10D1091402
Laboratory TypePhysician Office
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorHemant Shah
Laboratory Phone(904) 268-8200
Laboratory LocationJacksonville Pain Center9421 Waypoint Pl, Jacksonville, FL 32257
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. HEMANT N SHAH M.D.
Pain Medicine (Interventional Pain Medicine)
9421 WAYPOINT PL
JACKSONVILLE, FL 32257
Duval County (904) 268-8200

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 Pain Center PA's NPI number?

The NPI number for Jacksonville Pain Center PA is 1114114303. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Jacksonville Pain Center PA located?

Jacksonville Pain Center PA is located at 9421 Waypoint Pl, Jacksonville, FL 32257. The listed phone number is (904) 268-8200.

What is Jacksonville Pain Center PA's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Jacksonville Pain Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1091402) is associated with this NPI, valid through October 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacksonville Pain Center PA accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Jacksonville Pain Center PA 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 Pain Center PA was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.