MEMORIAL NEUROSURGERY GROUP, LLC
NPI 1811927650
Neurological Surgery in Jacksonville, FL

Active since July 04, 2006
4063 SALISBURY RD, SUITE 210, JACKSONVILLE, FL 32216(904) 296-2522(904) 296-8173 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Memorial Neurosurgery Group, Llc NPPES

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

MEMORIAL NEUROSURGERY GROUP, LLC (NPI 1811927650) is a healthcare organization registered as a neurological surgery in Jacksonville, Florida and active in the NPI registry since July 2006. The organization lists Mickey Pickler, Vice President, as its authorized official.

NPPES Registry Identity

NPI1811927650
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameMEMORIAL NEUROSURGERY GROUP LLC
Location Address4063 SALISBURY RD, SUITE 210Jacksonville, FL 32216-8030
Mailing Address4063 Salisbury Rd, Suite 210Jacksonville, FL 32216-8030 · (904) 296-2522 · Fax (904) 296-8173
Fax(904) 296-8173
Organization SubpartNo
Authorized OfficialMickey PicklerVice President · (850) 523-2117
Enumeration DateJuly 4, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1811927650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4063 SALISBURY RD, Jacksonville, FL 32216

Other Names 1

Doing Business AsMemorial Neurosurgery Group, Llc

Other Identifiers 1

Medicare PINAD379FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Memorial Neurosurgery Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Memorial Neurosurgery Group, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Neurosurgery
NPI 1255651394
3627 UNIVERSITY BLVD S STE 415
Jacksonville, FL 32216
(904) 296-2522
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1114300050
4114 SUNBEAM RD STE 300
Jacksonville, FL 32257
(904) 962-8151
✔ PECOS✔ Accepts Medicare3.6 mi
Neurology
NPI 1740440023
1665 KINGSLEY AVE STE 107
Orange Park, FL 32073
(904) 272-9981
✔ PECOS✔ Accepts Medicare10 mi
Neurosurgery
NPI 1881662716
1887 KINGSLEY AVE STE 1900
Orange Park, FL 32073
(904) 276-7336
✔ PECOS✔ Accepts Medicare10 mi
Neurosurgery
NPI 1114919230
1887 KINGSLEY AVE SUITE1900
Orange Park, FL 32073
(904) 276-7336
✔ PECOS✔ Accepts Medicare10 mi
Neurosurgery
NPI 1396165726
1942 BRAEBURN CIR
Salem, VA 24153
(540) 444-1240
✔ PECOS✔ Accepts Medicare491 mi
Neurosurgery
NPI 1598703910
1201 E MICHIGAN AVE STE 240
Jackson, MI 49201
(517) 205-1591
✔ PECOS✔ Accepts Medicare842 mi
Neurosurgery
NPI 1215917091
2415 E CAMELBACK RD STE 700
Phoenix, AZ 85016
(424) 443-4749
✔ PECOS✔ Accepts Medicare1,797 mi

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

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 Memorial Neurosurgery Group LLC's NPI number?

The NPI number for Memorial Neurosurgery Group LLC is 1811927650. It was assigned to this organization in the NPPES registry on July 4, 2006. The provider is doing business as Memorial Neurosurgery Group, LLC.

Where is Memorial Neurosurgery Group LLC located?

Memorial Neurosurgery Group LLC is located at 4063 Salisbury Rd Suite 210, Jacksonville, FL 32216. The listed phone number is (904) 296-2522.

What is Memorial Neurosurgery Group LLC's specialty?

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

Is Memorial Neurosurgery Group LLC enrolled in Medicare?

Yes. Memorial Neurosurgery Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Memorial Neurosurgery Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Memorial Neurosurgery Group LLC. 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 Neurosurgery (6), Neurology (1) and Nurse Practitioner (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Memorial Neurosurgery Group LLC accept?

Health plans from Wellpoint list Memorial Neurosurgery Group 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 Memorial Neurosurgery Group LLC was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.