Centurion Surgery Center of Jacksonville, LLC
NPI 1053059220 · Ambulatory Surgical Clinic/Center · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Centurion Surgery Center of Jacksonville, LLC is a Ambulatory Surgical Clinic/Center organization in Jacksonville, FL (NPI 1053059220).
Provider details
- NPI number
- 1053059220
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Alicia Groth, Credentialing Manager(904) 223-3321
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
4,767 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Level64493 | 1,031 | $332 |
| Destruction of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint64635 | 781 | $625 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 692 | $370 |
| Injection of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Level64490 | 475 | $329 |
| Injection Procedure for Sacroiliac Joint; Provision of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without ArthrographyG0260 | 321 | $274 |
| Destruction of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance, Single Facet Joint |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Centurion Surgery Center of Jacksonville
- Doing business as
- Centurion Surgery Center of Jacksonville
Registry dates
- Enumerated
- 2022-05-26
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Centurion Surgery Center of Jacksonville, LLC's NPI number?
- Centurion Surgery Center of Jacksonville, LLC's National Provider Identifier (NPI) is 1053059220, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Centurion Surgery Center of Jacksonville, LLC?
- Centurion Surgery Center of Jacksonville, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Centurion Surgery Center of Jacksonville, LLC located?
- Centurion Surgery Center of Jacksonville, LLC's practice location on file with NPPES is 5191 First Coast Tech Pkwy, Jacksonville, FL 32224.
- What is Centurion Surgery Center of Jacksonville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Centurion Surgery Center of Jacksonville, LLC is (904) 593-5146.
- Does Centurion Surgery Center of Jacksonville, LLC accept Medicare?
- Centurion Surgery Center of Jacksonville, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Centurion Surgery Center of Jacksonville, LLC?
- The authorized official listed on Centurion Surgery Center of Jacksonville, LLC's NPPES record is Alicia Groth, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Centurion Surgery Center of Jacksonville, LLC's NPI active?
- Yes — Centurion Surgery Center of Jacksonville, LLC's NPI (1053059220) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.