Jacksonville Ambulatory Surgery Center, LLC
NPI 1497614986 · Ambulatory Surgical Clinic/Center · St. Johns, FL
Jacksonville Ambulatory Surgery Center, LLC is a Ambulatory Surgical Clinic/Center organization in St. Johns, FL (NPI 1497614986).
Provider details
- NPI number
- 1497614986
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Thibodeaux, Chief Administrative Officer(904) 889-0061
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-13
Frequently asked questions
- What is Jacksonville Ambulatory Surgery Center, LLC's NPI number?
- Jacksonville Ambulatory Surgery Center, LLC's National Provider Identifier (NPI) is 1497614986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Ambulatory Surgery Center, LLC?
- Jacksonville Ambulatory Surgery Center, LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jacksonville Ambulatory Surgery Center, LLC located?
- Jacksonville Ambulatory Surgery Center, LLC's practice location on file with NPPES is 75 Barren Way, St. Johns, FL 32259.
- What is Jacksonville Ambulatory Surgery Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Ambulatory Surgery Center, LLC is (904) 889-0061.
- Who is the authorized official for Jacksonville Ambulatory Surgery Center, LLC?
- The authorized official listed on Jacksonville Ambulatory Surgery Center, LLC's NPPES record is Jamie Thibodeaux, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Ambulatory Surgery Center, LLC's NPI active?
- Yes — Jacksonville Ambulatory Surgery Center, LLC's NPI (1497614986) is active in the NPPES registry as of the last update on 2026-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.