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JAX SPINE & PAIN CENTERS
NPI 1760976260
Pain Medicine - Interventional Pain Medicine in Jacksonville, FL

NPI Status: Active since June 18, 2018

Contact Information

15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 223-3321
Fax: (904) 223-2169

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Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Group Taxonomy
  4. Insurance Plans Accepted
  5. Authorized Official
  6. NPI Validation
  7. Other Providers Same Location
  8. Frequently Asked Questions
  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • Accepts Insurance

About JAX SPINE & PAIN CENTERS

This page provides the complete NPI Profile along with additional information for Jax Spine & Pain Centers, a provider established in Jacksonville, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1760976260 assigned on June 2018. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Jax Spine & Pain Centers. The authorized official of this NPI record is Alicia Groth (Credentialing Specialist)

NPI
1760976260
Provider Legal Name
JACKSONVILLE SPINE CENTER PA
Other Organization Name
JAX SPINE & PAIN CENTERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
15255 MAX LEGGETT PKWY STE 5500 JACKSONVILLE, FL 32218
Location Phone
(904) 223-3321
Location Fax
(904) 223-2169
Mailing Address
5191 FIRST COAST TECH PKWY 3RD FLOOR JACKSONVILLE, FL 32224
Mailing Phone
(904) 223-3321
Mailing Fax
(904) 223-2169
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-18-2018
Last Update Date
09-26-2022
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Location Map

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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Florida Blue (BlueCross BlueShield FL)

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO

Florida Blue HMO (a BlueCross BlueShield FL company)

  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ALICIA GROTH

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(904) 223-3321

Reviews for JAX SPINE & PAIN CENTERS

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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 1760976260, we treat the final digit (0) 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

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
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 6 → 12 → 3 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 2 + 0 + 1 + 8 + 7 + 1 + 2 + 2 + 1 + 2 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1760976260.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

MR. THOMAS MATTHEW MATTOX JR. PA-C
Physician Assistant
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
HEATHER WILLIAMS ARNP
Nurse Practitioner (Family)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
MRS. BRITTANY ANEICE GIBSON APRN, FNP-BC
Nurse Practitioner (Family)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
DR. JUSTIN D MANN M.D.
Pain Medicine (Interventional Pain Medicine)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
ERICA M ELEK APRN
Nurse Practitioner (Family)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
SHANNON NICHOLE GROLEAU ARNP
Nurse Practitioner (Adult Health)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
DR. JUSTIN ALFONSO M.D.
Pain Medicine (Interventional Pain Medicine)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321
ALEXANDRA MARIE SPENCE APRN
Nurse Practitioner (Family)
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218
Duval County (904) 223-3321

Frequently Asked Questions

What is JACKSONVILLE SPINE CENTER PA's NPI number?

The NPI number assigned to this healthcare provider is 1760976260, enumerated as an "organization" on June 18, 2018.

Where is the provider located?

The provider is located at 15255 MAX LEGGETT PKWY STE 5500 JACKSONVILLE, FL 32218 and the phone number is (904) 223-3321.

What is the provider's specialty?

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

What insurance does JACKSONVILLE SPINE CENTER PA accept?

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.