ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH
NPI 1336208081
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

NPI Status: Active since December 08, 2006

Contact Information

1361 13TH AVE S
STE 130
JACKSONVILLE, FL
ZIP 32250
Phone: (904) 249-2580
Fax: (904) 249-1380

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical
Accepts Insurance
CLIA Number: 10D1008025
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-07-2027

About ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH

This page provides the complete NPI Profile along with additional information for Atlantic Surgery Center Of Jacksonville Beach, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1336208081 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Scott Jeffery Trimas Md (Medical Director)

NPI: 1336208081
Provider Name: ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH
Entity Type: Organization
Location Address: 1361 13TH AVE S STE 130 JACKSONVILLE, FL 32250
Location Phone: (904) 249-2580
Location Fax: (904) 249-1380
Mailing Address: 1361 13TH AVE S STE 130 JACKSONVILLE, FL 32250
Mailing Phone: (904) 249-2580
Mailing Fax: (904) 249-1380
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 12-08-2006
Last Update Date: 07-01-2008
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Ambulatory Surgical
Taxonomy Code: 261QA1903X
Type: Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Aetna CVS Health

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. SCOTT JEFFERY TRIMAS MD
Authorized Official Title: MEDICAL DIRECTOR
Authorized Official Phone: (904) 249-2580

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D1008025
Facility Type: Physician Office
Certificate Effective Date: January 08, 2025
Certificate Expiration Date: January 07, 2027
Laboratory Director: SCOTT J. TRIMAS
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Atlantic Surgery Center Of Jacksonville Beach to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	3	6	2	0	8	0	8	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	6	6	4	0	16	0	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 4 + 0 + 1 + 6 + 0 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1336208081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

RICHARD J BOEHME MD

Psychiatry & Neurology

(Neurology)

1361 13TH AVE S
STE-170A
JACKSONVILLE BEACH, FL
ZIP 32250

About ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH

Location Map

Specialty - Primary Taxonomy

Clinic/Center Ambulatory Surgical

Insurance Plans Accepted

Aetna CVS Health

Authorized Official

MR. SCOTT JEFFERY TRIMAS MD

CLIA Information

Reviews for ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH accept?