Jacksonville Spine Center PA
NPI 1912560798 · Interventional Pain Medicine Physician · Fleming Island, 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 Fleming Island, FL (NPI 1912560798).
Provider details
- NPI number
- 1912560798
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alicia Groth, Credentialing Specialist(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
7 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
- 2019-04-17
- Last updated
- 2022-09-23
- Certified
- 2022-09-20
Frequently asked questions
- What is Jacksonville Spine Center PA's NPI number?
- Jacksonville Spine Center PA's National Provider Identifier (NPI) is 1912560798, 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 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319.
- 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 Specialist. 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 (1912560798) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.