JAX SPINE & PAIN CENTERS – NPI #1760976260
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Health Care Provider Taxonomy Code for Pain Medicine

JAX SPINE & PAIN CENTERS is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1760976260 to JAX SPINE & PAIN CENTERS on June 18, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JAX SPINE & PAIN CENTERS” is a dba name, the actual legal business name for this organization is JACKSONVILLE SPINE CENTER PA. The primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was previously updated about 4 years ago on Sep 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAX SPINE & PAIN CENTERS below.

NPI Profile for
JACKSONVILLE SPINE CENTER PA

NPI Number
1760976260
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACKSONVILLE SPINE CENTER PA
Doing Business As (dba): JAX SPINE & PAIN CENTERS
Primary location
15255 MAX LEGGETT PKWY STE 5500
JACKSONVILLE, FL 32218-7273
Phone: (904) 223-3321 Fax: (904) 223-2169
Mailing address
5191 FIRST COAST TECH PKWY
3RD FLOOR
JACKSONVILLE, FL 32224
Phone: (904) 223-3321 Fax: (904) 223-2169
Organization Subpart
No
Authorized Official
ALICIA GROTH
CREDENTIALING SPECIALIST
Phone: (904) 223-3321
Updated
Certification Date
Sep 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.