GRACE SURGERY CENTER LLC
NPI 1396214938
Clinic/Center - Ambulatory Surgical in Ocala, FL

Active since November 13, 2018CLIA 10D2168679 · Waiver
2301 SE 3RD AVE BLDG 200, OCALA, FL 34471(352) 351-0029(352) 804-9977 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Nov 14, 2018 (2 updates tracked since 2018).

About Grace Surgery Center Llc NPPES

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

GRACE SURGERY CENTER LLC (NPI 1396214938) is a healthcare organization registered as an ambulatory surgical in Ocala, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Paul D Jo, President, as its authorized official.

NPPES Registry Identity

NPI1396214938
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGRACE SURGERY CENTER LLC
Location Address2301 SE 3RD AVE BLDG 200Ocala, FL 34471-5105
Mailing Address2301 Se 3rd Ave Bldg 100Ocala, FL 34471-5105 · (352) 351-0029 · Fax (352) 804-9977
Fax(352) 804-9977
Organization SubpartNo
Authorized OfficialPaul D JoPresident · (352) 351-0029
Enumeration DateNovember 13, 2018
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
NPI 1396214938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2301 SE 3RD AVE BLDG 200, Ocala, FL 34471

Accepted 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 10D2168679

Grace Surgery Center LLC · Ocala, FL
Active · expires Jul 7, 2027
CLIA Number10D2168679
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorPaul D. Jo
Laboratory Phone(352) 351-0029
Laboratory LocationGrace Surgery Center LLC2301 SE 3rd Ave Bldg #200, Ocala, FL 34471
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 14

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
444 services361 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
119 services65 patients
Shock wave crushing of kidney stones 50590
Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.
112 services66 patients
Biopsy of bladder using an endoscope 52204
A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.
96 services75 patients
Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm 52235
This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.
95 services73 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
84 services79 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 Grace Surgery Center LLC's NPI number?

The NPI number for Grace Surgery Center LLC is 1396214938. It was assigned to this organization in the NPPES registry on November 13, 2018.

Where is Grace Surgery Center LLC located?

Grace Surgery Center LLC is located at 2301 SE 3rd Ave Bldg 200, Ocala, FL 34471. The listed phone number is (352) 351-0029.

What is Grace Surgery Center LLC's specialty?

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

Does Grace Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2168679) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Surgery Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Grace 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 Grace Surgery Center LLC was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.