CENTERONE SURGERY CENTER
NPI 1609931229
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

NPI Status: Active since December 26, 2006

Contact Information

10475 CENTURION PKWY N
SUITE 101
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 652-2328

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 10D1064662
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 02-11-2027

About CENTERONE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Centerone Surgery Center, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1609931229 assigned on December 2006. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Centerone Surgery Center. The authorized official of this NPI record is Ms. Beverly J Teague Rn Cnor Lhrm (Administrative Clinical Director)

NPI
1609931229
Provider Legal Name
THE SURGERY CENTER OF JACKSONVILLE LLC
Other Organization Name
CENTERONE SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10475 CENTURION PKWY N SUITE 101 JACKSONVILLE, FL 32256
Location Phone
(904) 652-2328
Mailing Address
10475 CENTURION PKWY N SUITE 101 JACKSONVILLE, FL 32256
Mailing Phone
(904) 652-2328
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-26-2006
Last Update Date
07-03-2012
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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

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

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

MS. BEVERLY J TEAGUE RN CNOR LHRM

Authorized Official Title
ADMINISTRATIVE CLINICAL DIRECTOR
Authorized Official Phone
(904) 652-2328

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
F1494MEDICARE UPIN (02)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.

Correction of toe joint deformity

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

This service was performed 26 times for 16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 30 times for 17 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

This service was performed 30 times for 18 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 133 times for 97 patients

Partial removal of collar bone at shoulder using an endoscope

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

This service was performed 74 times for 72 patients

Release and/or relocation of elbow nerve

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

This service was performed 27 times for 24 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 110 times for 93 patients

Release of tendon connecting biceps muscle and shoulder using an endoscope

This procedure involves using a small camera, known as an endoscope, to view and release the tendon connecting your biceps muscle and shoulder. It can help reduce pain and improve mobility. The procedure is minimally invasive, promoting quicker recovery.

This service was performed 50 times for 49 patients

Removal of bone joints between wrist and fingers

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

This service was performed 26 times for 24 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 32 times for 32 patients

Removal of connective tissue of palm and release of finger, first digit

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

This service was performed 22 times for 20 patients

Removal of growth of tendon finger or hand

This procedure involves the surgical removal of abnormal growths on tendons in the finger or hand. These growths can cause discomfort or restrict movement. The process aims to alleviate pain and restore function to the affected area. It's done under anesthesia.

This service was performed 23 times for 21 patients

Repair of knee joint with drilling and or scraping of joint using an endoscope

This is a minimally invasive procedure where an endoscope, a small camera, is inserted into the knee joint. The surgeon then drills or scrapes the joint to remove any damaged tissue or bone. This can help improve mobility and reduce pain.

This service was performed 21 times for 21 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 74 times for 72 patients

Repair of shoulder socket using an endoscope

This procedure, called arthroscopic shoulder surgery, involves a small camera called an endoscope. It's inserted into your shoulder joint to view and repair your shoulder socket. It's less invasive, potentially reducing pain and recovery time.

This service was performed 21 times for 21 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 37 times for 37 patients

Replacement of thigh bone and hip joint with prosthesis

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

This service was performed 26 times for 26 patients

Transfer of tendon to back of hand

A transfer of tendon to the back of the hand is a surgical procedure aimed at improving hand function. It involves moving a healthy tendon from one area to another to replace a damaged or non-functioning one, helping to restore movement and strength.

This service was performed 47 times for 24 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

This service was performed 23 times for 22 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
10D1064662
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
February 12, 2025
Certificate Expiration Date
February 11, 2027
Laboratory Director
BEVERLY TEAGUE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Centerone Surgery Center 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.
1609931229
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609183224
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 8 + 3 + 2 + 2 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1609931229 is valid because the calculated check digit 9 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
1134191034DR. BEVERLY DENISE MCMILLIN MD
Individual
Otolaryngology (Pediatric Otolaryngology)10475 CENTURION PKWY N SUITE 302
JACKSONVILLE, FL 32256
(904) 398-5437
1225001589BRUCE R MADDERN MD PA
Organization
Otolaryngology (Pediatric Otolaryngology)10475 CENTURION PKWY N SUITE 302
JACKSONVILLE, FL 32256
(904) 398-5437
1598776023DR. JACQUELINE OLSON AUD
Individual
Audiologist10475 CENTURION PKWY N SUITE 303
JACKSONVILLE, FL 32256
(904) 399-0350
1124122577THE SURGERY CENTER OF JACKSONVILLE, LLC
Organization
Clinic/Center (Ambulatory Surgical)10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
(352) 567-6502
1417072190J DOUGLAS GREEN JR MD PA
Organization
Otolaryngology (Otology & Neurotology)10475 CENTURION PKWY N SUITE 303
JACKSONVILLE, FL 32256
(904) 399-0350
1376714691MS. NINOSKA SOCORRO ALVAREZ MSPT
Individual
Physical Therapist10475 CENTURION PKWY N SUITE 304
JACKSONVILLE, FL 32256
(904) 854-2050
1396909420 GORDON F TINLEY
Individual
Audiologist10475 CENTURION PKWY N SUITE 303
JACKSONVILLE, FL 32256
(904) 399-0350
1548582984DR. CHRISTINA GEIGER AU.D
Individual
Audiologist10475 CENTURION PKWY N #302
JACKSONVILLE, FL 32256
(904) 398-5437
1265865398 LORI RAKITA AU.D.
Individual
Audiologist10475 CENTURION PKWY N
JACKSONVILLE, FL 32256
(920) 574-0140
1780728774 SUSAN BARR OT
Individual
Occupational Therapist10475 CENTURION PKWY N SUITE 220
JACKSONVILLE, FL 32256
(904) 634-0640
1265438493DR. JAMES DOUGLAS GREEN JR. M.D.
Individual
Otolaryngology (Otology & Neurotology)10475 CENTURION PKWY N STE 303
JACKSONVILLE, FL 32256
(904) 399-0350
1528030418DR. BRUCE ROBERT MADDERN MD
Individual
Otolaryngology (Pediatric Otolaryngology)10475 CENTURION PKWY N SUITE 302
JACKSONVILLE, FL 32256
(904) 398-5437
1326440801HEALTHCORE WELLNESS, P.A.
Organization
Chiropractor10475 CENTURION PKWY N SUITE 201
JACKSONVILLE, FL 32256
(904) 646-2673
1790732030 GUILLERMO B HAYAG PT-C
Individual
Physical Therapist10475 CENTURION PKWY N SUITE 103
JACKSONVILLE, FL 32256
(904) 634-0929
1265524037 SOMMER C HALL PT
Individual
Physical Therapist (Orthopedic)10475 CENTURION PKWY N SUITE 220
JACKSONVILLE, FL 32256
(904) 634-0640
1396907374 JACK CHRISTOPHER DUNN DPT
Individual
Physical Therapist10475 CENTURION PKWY N SUITE 220
JACKSONVILLE, FL 32256
(960) 463-4064
1053644286 AFTAN NOELLE DELANEY DPT
Individual
Physical Therapist10475 CENTURION PKWY N SUITE 220
JACKSONVILLE, FL 32256
(904) 634-0640
1164719076 BRIAN D TARDIF PA
Individual
Physician Assistant (Surgical)10475 CENTURION PKWY N SUITE 220
JACKSONVILLE, FL 32256
(904) 634-0640
1588059083 KRISTA L BONIECKI DPT
Individual
Physical Therapist10475 CENTURION PKWY N SUIE 220
JACKSONVILLE, FL 32256
(904) 634-0640
1952789547 CHRISTOPHER PEREZ DE CORCHO
Individual
Physical Therapist10475 CENTURION PKWY N #304
JACKSONVILLE, FL 32256
(904) 854-2050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609931229, enumerated in the NPI registry as an "organization" on December 26, 2006

The provider is located at 10475 Centurion Pkwy N Suite 101 Jacksonville, Fl 32256 and the phone number is (904) 652-2328

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: Correction of toe joint deformity, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint, Incision of tendon covering of finger, Partial removal of collar bone at shoulder using an endoscope, Release and/or relocation of elbow nerve, Release and/or relocation of hand nerve, Release of tendon connecting biceps muscle and shoulder using an endoscope, Removal of bone joints between wrist and fingers, Removal of both knee cartilages using an endoscope, Removal of connective tissue of palm and release of finger, first digit, Removal of growth of tendon finger or hand, Repair of knee joint with drilling and or scraping of joint using an endoscope, Repair of shoulder rotator cuff using an endoscope, Repair of shoulder socket using an endoscope, Replacement of knee joint, both sides of knee, Replacement of thigh bone and hip joint with prosthesis, Transfer of tendon to back of hand and Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device.

The provider's CLIA number is 10D1064662 for a "ambulatory surgery 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 December 26, 2006. 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.