SURGERY CENTER OF VOLUSIA
NPI 1407873292
Clinic/Center - Ambulatory Surgical in Port Orange, FL

Active since July 16, 2006CLIA 10D1010590 · Waiver
3635 S CLYDE MORRIS BLVD, SUITE 500, PORT ORANGE, FL 32129(386) 760-8151(386) 760-8185 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgery Center Of Volusia NPPES

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

SURGERY CENTER OF VOLUSIA (NPI 1407873292) is a healthcare organization registered as an ambulatory surgical in Port Orange, Florida and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Jeffrey Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1407873292
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER OF VOLUSIA, LLC
Location Address3635 S CLYDE MORRIS BLVD, SUITE 500Port Orange, FL 32129-2300
Mailing Address1a Burton Hills Blvd # L&cNashville, TN 37215-6187 · (615) 240-3820 · Fax (615) 234-1720
Fax(386) 760-8185
Organization SubpartNo
Authorized OfficialJeffrey SnodgrassPresident · (615) 665-1283
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 10, 2023
NPPES CertifiedJanuary 10, 2023
NPI 1407873292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in FL · 1175
3635 S CLYDE MORRIS BLVD, Port Orange, FL 32129

Other Names 1

Doing Business AsSurgery Center Of Volusia

Other Identifiers 2

Medicaid075540100FL
OtherP00073662FL · Railroad Medicare

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 10D1010590

Surgery Center Of Volusia · Port Orange, FL
Active · expires Mar 17, 2027
CLIA Number10D1010590
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorLouis M. Agnone
Laboratory Phone(386) 760-8151
Laboratory LocationSurgery Center Of Volusia3635 Clyde Morris Blvd Ste 500, Port Orange, FL 32129
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 26

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.
14,098 services49 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
1,007 services973 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
734 services733 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
655 services650 patients
Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
560 services90 patients
Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248
This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.
264 services256 patients

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery (Hand Surgery)
3635 S CLYDE MORRIS BLVD, SUITE 900
PORT ORANGE, FL 32129
Orthopaedic Surgery (Hand Surgery)
3635 S CLYDE MORRIS BLVD, SUITE 900
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 S CLYDE MORRIS BLVD, STE 100
PORT ORANGE, FL 32129
Plastic Surgery
3635 S CLYDE MORRIS BLVD, STE. 400
PORT ORANGE, FL 32129
Plastic Surgery
3635 S CLYDE MORRIS BLVD, SUITE 400
PORT ORANGE, FL 32129
Anesthesiology
3635 S CLYDE MORRIS BLVD, SUITE 500
PORT ORANGE, FL 32129
Orthopaedic Surgery
3635 S CLYDE MORRIS BLVD, STE 600
PORT ORANGE, FL 32129
Internal Medicine (Gastroenterology)
3635 S CLYDE MORRIS BLVD, STE 100
PORT ORANGE, FL 32129

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 Surgery Center Of Volusia, LLC's NPI number?

The NPI number for Surgery Center Of Volusia, LLC is 1407873292. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Surgery Center Of Volusia.

Where is Surgery Center Of Volusia, LLC located?

Surgery Center Of Volusia, LLC is located at 3635 S Clyde Morris Blvd Suite 500, Port Orange, FL 32129. The listed phone number is (386) 760-8151.

What is Surgery Center Of Volusia, LLC's specialty?

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

Does Surgery Center Of Volusia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1010590) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center Of Volusia, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Surgery Center Of Volusia, 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 Surgery Center Of Volusia, LLC was last updated on January 10, 2023. 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.