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JACKSONVILLE SPINE CENTER PA
NPI 1306556550
Pain Medicine - Interventional Pain Medicine in Jacksonville, FL

Active since November 29, 2022CLIA 10D2008172 · Accreditation
2550 PARK ST STE B, JACKSONVILLE, FL 32204(904) 223-3321(904) 223-2169 Get Directions Write a Review

NPPES record last updated: November 29, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Jacksonville Spine Center Pa NPPES

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

JACKSONVILLE SPINE CENTER PA (NPI 1306556550), doing business as Jax Spine & Pain Centers, is a healthcare organization registered as an interventional pain medicine in Jacksonville, Florida and active in the NPI registry since November 2022. The organization holds an CLIA Accreditation certificate valid through July 30, 2027 and lists Alicia M Groth, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1306556550
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameJACKSONVILLE SPINE CENTER PA
Location Address2550 PARK ST STE BJacksonville, FL 32204-4518
Mailing Address5191 First Coast Tech Pkwy Fl 3Jacksonville, FL 32224-0609 · (904) 223-3321 · Fax (904) 223-2169
Phone(904) 223-3321
Fax(904) 223-2169
Organization SubpartNo
Authorized OfficialAlicia M GrothCredentialing · (904) 223-3321
Enumeration DateNovember 29, 2022
NPPES CertifiedNovember 29, 2022
✔ NPI 1306556550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
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.
2550 PARK ST STE B, Jacksonville, FL 32204
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Other Names 1

Doing Business AsJax Spine & Pain Centers

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 Accreditation 10D2008172

Jacksonville Spine Center · Jacksonville, FL
Active · expires Jul 30, 2027
CLIA Number10D2008172
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorDr. Ahmed Ibrahim
Laboratory Phone(904) 223-3321
Laboratory LocationJacksonville Spine Center5191 First Coast Tech Pkwy Floor 3, Jacksonville, FL 32224
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

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

JACQUELYN FREEMAN PA
Physician Assistant
2550 PARK ST STE B
JACKSONVILLE, FL 32204
Duval County (904) 223-3321
MRS. WENDY MARIE BARTON NP
Nurse Practitioner (Family)
2550 PARK ST STE B
JACKSONVILLE, FL 32204
Duval County (904) 223-3321
CONEKIA MARSHEA BURGESS MSN RN APRN FNP-C
Nurse Practitioner (Family)
2550 PARK ST STE B
JACKSONVILLE, FL 32204
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 Jacksonville Spine Center PA's NPI number?

The NPI number for Jacksonville Spine Center PA is 1306556550. It was assigned to this organization in the NPPES registry on November 29, 2022. The provider is doing business as Jax Spine & Pain Centers.

Where is Jacksonville Spine Center PA located?

Jacksonville Spine Center PA is located at 2550 Park St Ste B, Jacksonville, FL 32204. The listed phone number is (904) 223-3321.

What is Jacksonville Spine 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 Spine Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D2008172) is associated with this NPI, valid through July 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacksonville Spine Center PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jacksonville Spine 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 Spine Center PA was last updated on November 29, 2022. 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.