JAX SPINE & PAIN CENTERS
NPI 1326659236
Pain Medicine - Interventional Pain Medicine in Fernandina Beach, FL
NPI Status: Active since August 13, 2020
Contact Information
1699 S 14TH ST STE 16
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 223-3321
Fax: (904) 223-2169
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 10D2012469
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-11-2026
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 Fernandina Beach, Florida operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1326659236 assigned on August 2020. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice 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 M Groth (Credentialing Specialist)
- NPI
- 1326659236
- 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
- 1699 S 14TH ST STE 16 FERNANDINA BEACH, FL 32034
- Location Phone
- (904) 223-3321
- Location Fax
- (904) 223-2169
- Mailing Address
- 5191 FIRST COAST TECH PKWY 3RD FLOOR JACKSONVILLE, FL 32256
- Mailing Phone
- (904) 223-3321
- Mailing Fax
- (904) 223-2169
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-13-2020
- Last Update Date
- 09-26-2022
- Code Navigator
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.
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
- 10D2012469
- Facility Type
- Physician Office
- Certificate Effective Date
- November 12, 2024
- Certificate Expiration Date
- November 11, 2026
- Laboratory Director
- NORBERTO BENITEZ
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Jax Spine & Pain Centers after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 2 | 6 | 6 | 5 | 9 | 2 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 4 | 6 | 12 | 5 | 18 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 4 + 6 + 1 + 2 + 5 + 1 + 8 + 2 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1326659236 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548338353 | LISA D LEMLEY GIBSON PA Individual | Physician Assistant | 1699 S 14TH ST STE 16 FERNANDINA BEACH, FL 32034 (904) 223-3321 |
| 1083778468 | DR. NICHOLAS JOHN BREMER M.D. Individual | Pain Medicine (Pain Medicine) | 1699 S 14TH ST STE 16 FERNANDINA BEACH, FL 32034 (904) 223-3321 |
| 1881024495 | MR. ROBERT PARSONS RT (R)(MR) Individual | Radiologic Technologist (Magnetic Resonance Imaging) | 1699 S 14TH ST STE 16 FERNANDINA BEACH, FL 32034 (904) 491-7700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326659236, enumerated in the NPI registry as an "organization" on August 13, 2020
The provider is located at 1699 S 14th St Ste 16 Fernandina Beach, Fl 32034 and the phone number is (904) 223-3321
This medical organization specializes in Pain Medicine with taxonomy code 208VP0014X with a focus in Interventional Pain Medicine
The provider's CLIA number is 10D2012469 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 13, 2020. 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].
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