ST VINCENTS AMBULATORY CARE INC
NPI 1417987124
Neurological Surgery in Jacksonville, FL

Active since July 05, 2006CLIA Certified · 7 labs
2 SHIRCLIFF WAY, SUITE 600, JACKSONVILLE, FL 32204(904) 308-6769(904) 308-4072 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St Vincents Ambulatory Care Inc NPPES

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

ST VINCENTS AMBULATORY CARE INC (NPI 1417987124) is a healthcare organization registered as a neurological surgery in Jacksonville, Florida and active in the NPI registry since July 2006. The organization holds 7 active CLIA laboratory certificates and lists Miranda Hemm, Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1417987124
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameST VINCENTS AMBULATORY CARE INC
Location Address2 SHIRCLIFF WAY, SUITE 600Jacksonville, FL 32204-4742
Mailing Address4500 Salisbury Rd Ste 210Jacksonville, FL 32216-0968 · (904) 308-7959 · Fax (904) 308-7938
Fax(904) 308-4072
Organization SubpartNo
Authorized OfficialMiranda HemmEnrollment Manager · (904) 450-6004
Enumeration DateJuly 5, 2006
Last NPPES UpdateOctober 17, 2022
NPPES CertifiedOctober 17, 2022
✔ NPI 1417987124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
2 SHIRCLIFF WAY, Jacksonville, FL 32204

Other Identifiers 1

Medicaid276587000FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Vincents Ambulatory Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

570

Medicare enrollment records show 570 clinicians reassign Medicare billing to St Vincents Ambulatory Care Inc, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 228 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 38

Nurse Practitioner195
Family Practice92
Cardiovascular Disease (Cardiology)42
Neurology41
Internal Medicine33
Hematology/Oncology24
Pulmonary Disease21
Pediatric Medicine17
30 other specialties105

Nearest to this location (20)

See all 570
Nurse Practitioner
NPI 1679237333
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-7300
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1487061271
3 SHIRCLIFF WAY STE 330
Jacksonville, FL 32204
(904) 384-7370
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346656709
2 SHIRCLIFF WAY STE 300
Jacksonville, FL 32204
(904) 308-2006
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538860168
3 SHIRCLIFF WAY STE 625
Jacksonville, FL 32204
(904) 308-6900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1114557162
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-4100
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1346999505
2 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 450-6090
✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1629087549
3 SHIRCLIFF WAY STE 714
Jacksonville, FL 32204
(904) 305-1350
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184388373
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-7300
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669721155
3 SHIRCLIFF WAY SUITE 714
Jacksonville, FL 32204
(904) 308-2006
✔ PECOSSame address
Interventional Cardiology
NPI 1629366984
2 SHIRCLIFF WAY STE 300&400
Jacksonville, FL 32204
(904) 388-1820
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1871585521
3 SHIRCLIFF WAY SUITE 525
Jacksonville, FL 32204
(904) 389-3770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700265840
1 SHIRCLIFF WAY STE 625
Jacksonville, FL 32204
(904) 308-6900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1447712716
2 SHIRCLIFF WAY STE 300
Jacksonville, FL 32204
(904) 308-7959
✔ PECOSSame address
Neurology
NPI 1265811152
2 SHIRCLIFF WAY STE 300
Jacksonville, FL 32204
(904) 308-7959
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083927073
2 SHIRCLIFF WAY STE 300&400
Jacksonville, FL 32204
(904) 388-1820
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881308781
1 SHIRCLIFF WAY
Jacksonville, FL 32204
(904) 308-7300
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1790072684
3 SHIRCLIFF WAY STE 724
Jacksonville, FL 32204
(904) 308-7959
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639860091
2 SHIRCLIFF WAY STE 200
Jacksonville, FL 32204
(904) 308-2006
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487064317
1503 OAK ST
Jacksonville, FL 32204
(904) 450-8940
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1417475369
425 N LEE ST STE 203
Jacksonville, FL 32204
(904) 354-8200
✔ PECOS✔ Accepts Medicare0.9 mi
See all 570 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 8

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 10D0721560

St Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents · Jacksonville, FL
Active · expires Dec 30, 2026
CLIA Number10D0721560
Laboratory TypePhysician Office
Certificate Effective DateDecember 31, 2024
Certificate Expiration DateDecember 30, 2026
Laboratory DirectorDr. Nima Taghipour
Laboratory Phone(904) 388-1820
Laboratory LocationSt Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents2 Shircliff Way Suite 400, Jacksonville, FL 32204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1080720

St Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents · Jacksonville, FL
Active · expires Feb 28, 2028
CLIA Number10D1080720
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorRobert Luke
Laboratory Phone(904) 296-0278
Laboratory LocationSt Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents4205 Belfort Rd Ste 2067/2069, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2144223

St Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents · Jacksonville, FL
Active · expires Feb 12, 2028
CLIA Number10D2144223
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorDr. Abraham Halik
Laboratory Phone(904) 308-6370
Laboratory LocationSt Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents3 Shircliff Way Suite 714, Jacksonville, FL 32204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2029463

St Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents · Jacksonville, FL
Active · expires Sep 7, 2027
CLIA Number10D2029463
Laboratory TypePhysician Office
Certificate Effective DateSeptember 8, 2025
Certificate Expiration DateSeptember 7, 2027
Laboratory DirectorAlex Arce
Laboratory Phone(904) 384-7370
Laboratory LocationSt Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents1824 Kings Street Suite 250, Jacksonville, FL 32204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1097610

St Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents · Jacksonville, FL
Active · expires Mar 30, 2027
CLIA Number10D1097610
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorWesley C. Mills
Laboratory Phone(904) 400-6500
Laboratory LocationSt Vincents Ambulatory Care Inc Dba Ascension Medical Group St Vincents8075 Gate Parkway W Ste 202, Jacksonville, FL 32216
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2020987

St Vincents Ambulatory Care Inc Mobile Health Outreach Ministry · Jacksonville, FL
Active · expires Mar 2, 2027
CLIA Number10D2020987
Laboratory TypeMobile Health Clinic
Certificate Effective DateMarch 3, 2025
Certificate Expiration DateMarch 2, 2027
Laboratory DirectorMartha P. Sanchez-Silva
Laboratory Phone(904) 308-7911
Laboratory LocationSt Vincents Ambulatory Care Inc Mobile Health Outreach Ministry3 Shircliff Way - Ste 3300, Jacksonville, FL 32204
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 St Vincents Ambulatory Care Inc's NPI number?

The NPI number for St Vincents Ambulatory Care Inc is 1417987124. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is St Vincents Ambulatory Care Inc located?

St Vincents Ambulatory Care Inc is located at 2 Shircliff Way Suite 600, Jacksonville, FL 32204. The listed phone number is (904) 308-6769.

What is St Vincents Ambulatory Care Inc's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is St Vincents Ambulatory Care Inc enrolled in Medicare?

Yes. St Vincents Ambulatory Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Vincents Ambulatory Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 570 clinicians in 38 Medicare specialties reassign their Medicare billing to St Vincents Ambulatory Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (195), Family Practice (92) and Cardiovascular Disease (Cardiology) (42). Of these, 18 practice at this address and 228 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does St Vincents Ambulatory Care Inc hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St Vincents Ambulatory Care Inc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list St Vincents Ambulatory Care Inc 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 St Vincents Ambulatory Care Inc was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.