CARILLON SURGERY CENTER LLC
NPI 1316189095
Clinic/Center - Ambulatory Surgical in St Petersburg, FL

NPI Status: Active since March 27, 2009

Contact Information

900 CARILLON PKWY
SUITE 205
ST PETERSBURG, FL
ZIP 33716
Phone: (727) 561-2710
Fax: (727) 561-2770

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 10D1037976
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 03-08-2027

About CARILLON SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Carillon Surgery Center Llc, a provider established in St Petersburg, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1316189095 assigned on March 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 1315 (FL). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Christopher Todd Jones (Vp Ambulatory Services)

NPI
1316189095
Provider Name
CARILLON SURGERY CENTER LLC
Entity Type
Organization
Location Address
900 CARILLON PKWY SUITE 205 ST PETERSBURG, FL 33716
Location Phone
(727) 561-2710
Location Fax
(727) 561-2770
Mailing Address
PO BOX 405830 ATLANTA, GA 30384
Mailing Phone
(813) 852-3272
Mailing Fax
(727) 561-2770
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2009
Last Update Date
04-12-2021
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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.
1315
License State
FL

Insurance Plans Accepted

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

  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • AvMed Entrust Bronze 600 (2025) - HMO
  • AvMed Entrust Bronze 650 (2025) - HMO
  • AvMed Entrust Expanded Bronze Standard (2025) - HMO
  • AvMed Entrust Gold 125 (2025) - HMO
  • AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
  • AvMed Entrust Gold Standard (2025) - HMO
  • AvMed Entrust Platinum 25 (2025) - HMO
  • AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
  • AvMed Entrust Platinum Standard (2025) - HMO
  • AvMed Entrust Silver 350 (2025) - HMO
  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. CHRISTOPHER TODD JONES

Authorized Official Title
VP AMBULATORY SERVICES
Authorized Official Phone
(727) 281-3313

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
001037300MEDICAID (05)FL 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 76 times for 70 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 120 times for 120 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 49 times for 49 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 35 times for 28 patients

Injection, bupivacaine liposome, 1 mg

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

This service was performed 7,448 times for 28 patients

Release and/or relocation of hand nerve

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

This service was performed 48 times for 37 patients

Removal of both knee cartilages using an endoscope

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

This service was performed 44 times for 42 patients

Removal of knee cartilage using an endoscope

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

This service was performed 11 times for 11 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 77 times for 77 patients

Repair of groin hernia using an endoscope

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

This service was performed 49 times for 35 patients

Repair of hernia using an endoscope

Hernia repair with an endoscope is a minimally invasive procedure. A small camera (endoscope) is inserted via a tiny incision to visualize the area. Special tools are then used to fix the hernia. This method often leads to quicker recovery and less discomfort.

This service was performed 14 times for 14 patients

Repair of shoulder rotator cuff using an endoscope

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

This service was performed 17 times for 17 patients

Replacement of knee joint, both sides of knee

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

This service was performed 38 times for 36 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1037976
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
March 09, 2025
Certificate Expiration Date
March 08, 2027
Laboratory Director
KERN DAVIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Carillon Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1316189095
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23262818018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 2 + 8 + 1 + 8 + 0 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1316189095 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346339900DR. JORGE MARIO TRUJILLO MD,PHD,MPH
Individual
Preventive Medicine (Occupational Medicine)900 CARILLON PKWY SUITE 103
ST PETERSBURG, FL 33716
(727) 556-2662
1881784726MS. RESHMA PARWANI M.S., C.C.C.
Individual
Speech-Language Pathologist900 CARILLON PKWY SUITE 407
ST PETERSBURG, FL 33716
(727) 571-1210
1487704854DR. NATHAN CHARLES MILLER D.M.D.
Individual
Dentist (General Practice)900 CARILLON PKWY SUITE 307
SAINT PETERSBURG, FL 33716
(727) 561-0555
1700913225J PAONESSA M.D., P.A.
Organization
Specialist900 CARILLON PKWY SUITE 400
ST PETERSBURG, FL 33716
(727) 231-0259
1104023324SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC
Organization
Specialist900 CARILLON PKWY SUITE 404
ST PETERSBURG, FL 33716
(727) 572-1333
1750573135ICM ASSOCIATES, INC.
Organization
Community/Behavioral Health900 CARILLON PKWY SUITE 301
SAINT PETERSBURG, FL 33716
(727) 392-5600
1033389788DR. ROBYN MICHELE ACHE D.O.
Individual
Surgery900 CARILLON PKWY SUITE 401
ST PETERSBURG, FL 33716
(727) 289-7137
1386874683LAKESIDE OCCUPATIONAL MEDICAL CENTERS, INC.
Organization
Clinic/Center (Occupational Medicine)900 CARILLON PKWY SUITE 106
ST PETERSBURG, FL 33716
(727) 532-7661
1386966786 AMY ATKINS M.S., CCC-SLP
Individual
Speech-Language Pathologist900 CARILLON PKWY
ST PETERSBURG, FL 33716
(727) 571-1210
1841562741MRS. COLLEEN HELEN SPENCE
Individual
Occupational Therapist (Pediatrics)900 CARILLON PKWY SUITE 407
ST PETERSBURG, FL 33716
(727) 571-1210
1639427107DR. BRYAN JAMES HARTER D.P.T.
Individual
Physical Therapist900 CARILLON PKWY
ST PETERSBURG, FL 33716
(727) 561-2330
1427238211BRENT W CARMACK MD PA
Organization
Ophthalmology900 CARILLON PKWY STE 111
ST PETERSBURG, FL 33716
(727) 573-3937
1124008891 SALIM N HAMADE MD
Individual
Internal Medicine (Infectious Disease)900 CARILLON PKWY SUITE 112
ST PETERSBURG, FL 33716
(727) 233-0111
1043464464SALIM HAMADE M.D., P.A.
Organization
Internal Medicine (Infectious Disease)900 CARILLON PKWY SUITE 112
ST PETERSBURG, FL 33716
(727) 233-0111
1457467128DR. PAUL J MELCHERT MD
Individual
Family Medicine900 CARILLON PKWY SUITE 304
ST PETERSBURG, FL 33716
(727) 561-0912
1578845855 HEATHER LYNN HORNSTEIN P.A.
Individual
Physician Assistant (Surgical)900 CARILLON PKWY SUITE 311
ST PETERSBURG, FL 33716
(727) 573-5626
1811950660DR. KATULLE KOLI EATON M.D.
Individual
Orthopaedic Surgery (Sports Medicine)900 CARILLON PKWY SUITE 311
ST PETERSBURG, FL 33716
(727) 573-5626
1073666095 JOHN CASIMIR DRYGAS MD
Individual
Neurological Surgery900 CARILLON PKWY SUITE 402A
ST PETERSBURG, FL 33716
(727) 480-5151
1831345974 HEATHER MELISSA GOODSON PA-C
Individual
Physician Assistant (Surgical)900 CARILLON PKWY SUITE 311
ST PETERSBURG, FL 33716
(727) 573-5626
1285010785JOHN DRYGAS LLC
Organization
Neurological Surgery900 CARILLON PKWY SUITE 402A
ST PETERSBURG, FL 33716
(727) 432-3959

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316189095, enumerated in the NPI registry as an "organization" on March 27, 2009

The provider is located at 900 Carillon Pkwy Suite 205 St Petersburg, Fl 33716 and the phone number is (727) 561-2710

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Aetna CVS Health, Ambetter Health, Ambetter of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual at high risk, Incision of tendon covering of finger, Injection, bupivacaine liposome, 1 mg, Release and/or relocation of hand nerve, Removal of both knee cartilages using an endoscope, Removal of knee cartilage using an endoscope, Removal of polyps or growths of large bowel using an endoscope with mechanical snare, Repair of groin hernia using an endoscope, Repair of hernia using an endoscope, Repair of shoulder rotator cuff using an endoscope and Replacement of knee joint, both sides of knee.

The provider's CLIA number is 10D1037976 for a "ancillary testing site in health care center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on March 27, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.