PONTE VEDRA BEACH SURGERY CENTER
NPI 1609269232
Clinic/Center - Ambulatory Surgical in Ponte Vedra Beach, FL

NPI Status: Active since March 06, 2015

Contact Information

1030 A1A N
PONTE VEDRA BEACH, FL
ZIP 32082
Phone: (907) 285-1199
Fax: (907) 285-1197

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Ambulatory Surgical

About PONTE VEDRA BEACH SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Ponte Vedra Beach Surgery Center, a provider established in Ponte Vedra Beach, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1609269232 assigned on March 2015. The practitioner's primary taxonomy code is 261QA1903X with license number 1215 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Ponte Vedra Beach Surgery Center. The authorized official of this NPI record is Krystyn Collier (Manager)

NPI: 1609269232
Provider Legal Name: SURGICAL CENTER OF PONTE VEDRA BEACH LLC
Other Organization Name: PONTE VEDRA BEACH SURGERY CENTER
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1030 A1A N PONTE VEDRA BEACH, FL 32082
Location Phone: (907) 285-1199
Location Fax: (907) 285-1197
Mailing Address: 1030 A1A N PONTE VEDRA BEACH, FL 32082
Mailing Phone: (907) 285-1199
Mailing Fax: (907) 285-1197
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-06-2015
Last Update Date: 07-29-2019
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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
License No.: 1215
License State: FL

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: KRYSTYN COLLIER
Authorized Official Title: MANAGER
Authorized Official Phone: (904) 285-1199

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1609269232, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 18 → 1 + 8

Pos 8

Unchanged

Pos 9

Doubled → 6

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 0 + 9 + 4 + 6 + 1 + 8 + 2 + 6 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1609269232.