Surgcenter of Greater Jacksonville, LLC
NPI 1104485440 · 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)
Surgcenter of Greater Jacksonville, LLC is a Ambulatory Surgical Clinic/Center organization in Jacksonville, FL (NPI 1104485440).
Provider details
- NPI number
- 1104485440
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Collin Lemaistre, Market President(214) 213-0723
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
7 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
3,449 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, Bupivacaine Liposome, 1 MgC9290 | 3,059 | $1 |
| Release And/Or Relocation of Hand Nerve64721 | 77 | $778 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 72 | $8,276 |
| Imaging Guidance for Procedure, 60 Minutes Or Less76000 | 55 | $29 |
| Incision of Tendon Covering of Finger26055 | 31 | $725 |
| Removal of Bone Joints Between Wrist and Fingers25447 | 23 | $695 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-11
- Last updated
- 2024-09-10
- Certified
- 2024-09-10
Frequently asked questions
- What is Surgcenter of Greater Jacksonville, LLC's NPI number?
- Surgcenter of Greater Jacksonville, LLC's National Provider Identifier (NPI) is 1104485440, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Surgcenter of Greater Jacksonville, LLC?
- Surgcenter of Greater Jacksonville, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Surgcenter of Greater Jacksonville, LLC located?
- Surgcenter of Greater Jacksonville, LLC's practice location on file with NPPES is 9143 Philips Hwy Ste 500, Jacksonville, FL 32256-1335.
- What is Surgcenter of Greater Jacksonville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Surgcenter of Greater Jacksonville, LLC is (904) 233-0597.
- Does Surgcenter of Greater Jacksonville, LLC accept Medicare?
- Surgcenter of Greater 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 Surgcenter of Greater Jacksonville, LLC?
- The authorized official listed on Surgcenter of Greater Jacksonville, LLC's NPPES record is Collin Lemaistre, Market President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Surgcenter of Greater Jacksonville, LLC's NPI active?
- Yes — Surgcenter of Greater Jacksonville, LLC's NPI (1104485440) is active in the NPPES registry as of the last update on 2024-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.