Jacksonville Spine Center PA
NPI 1609586858 · Interventional Pain Medicine Physician · Jacksonville, FL
Enrolled with Medicare as Dme Supplier - Physician - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Spine Center PA is a Interventional Pain Medicine Physician organization in Jacksonville, FL (NPI 1609586858).
Provider details
- NPI number
- 1609586858
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Groth, Credentialing(904) 223-3321
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
Other names (DBA / former)
- Doing business as
- Jax Spine & Pain Centers
Registry dates
- Enumerated
- 2022-11-29
- Last updated
- 2022-11-29
- Certified
- 2022-11-29
Frequently asked questions
- What is Jacksonville Spine Center PA's NPI number?
- Jacksonville Spine Center PA's National Provider Identifier (NPI) is 1609586858, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Spine Center PA?
- Jacksonville Spine Center PA is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacksonville Spine Center PA located?
- Jacksonville Spine Center PA's practice location on file with NPPES is 1351 13th Ave S Ste 120, Jacksonville, FL 32250-3237.
- What is Jacksonville Spine Center PA's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Spine Center PA is (904) 223-3321.
- Does Jacksonville Spine Center PA accept Medicare?
- Jacksonville Spine Center PA 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 Jacksonville Spine Center PA?
- The authorized official listed on Jacksonville Spine Center PA's NPPES record is Alicia Groth, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Spine Center PA's NPI active?
- Yes — Jacksonville Spine Center PA's NPI (1609586858) is active in the NPPES registry as of the last update on 2022-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.