Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKSONVILLE AMBULATORY SURGERY CENTER, LLC
NPI 1497614986
Clinic/Center - Ambulatory Surgical in St. Johns, FL

Q: What is Jacksonville Ambulatory Surgery Center, LLC's specialty?

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

Active since January 20, 2026

75 BARREN WAY, ST. JOHNS, FL 32259(904) 889-0061 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacksonville Ambulatory Surgery Center, Llc NPPES

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

JACKSONVILLE AMBULATORY SURGERY CENTER, LLC (NPI 1497614986) is a healthcare organization registered as an ambulatory surgical in St. Johns, Florida and active in the NPI registry since January 2026. The organization lists Jamie Thibodeaux, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1497614986

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameJACKSONVILLE AMBULATORY SURGERY CENTER, LLC

Location Address75 BARREN WAYSt. Johns, FL 32259

Mailing Address75 Barren WaySt. Johns, FL 32259 · (904) 889-0061

Phone(904) 889-0061

Organization SubpartNo

Authorized OfficialJamie ThibodeauxChief Administrative Officer · (904) 889-0061

Enumeration DateJanuary 20, 2026

Last NPPES UpdateJune 26, 2026

NPPES CertifiedJune 26, 2026

✔ NPI 1497614986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

75 BARREN WAY, St. Johns, FL 32259

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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 Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Jacksonville Ambulatory Surgery Center, LLC is 1497614986. It was assigned to this organization in the NPPES registry on January 20, 2026.

Where is Jacksonville Ambulatory Surgery Center, LLC located?

Jacksonville Ambulatory Surgery Center, LLC is located at 75 Barren Way, St. Johns, FL 32259. The listed phone number is (904) 889-0061.

What is Jacksonville Ambulatory Surgery Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacksonville Ambulatory Surgery Center, LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.