Organization provider

ST VINCENTS AMBULATORY CARE INC

Neurological Surgery Physician Internal Medicine Physician Cardiovascular Disease Physician Medicare enrolled

ST VINCENTS AMBULATORY CARE INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417987124, based in Jacksonville, FL. The organization lists 8 taxonomy classifications, with Neurological Surgery Physician recorded as primary.

Getting there

The practice address on file is 2 SHIRCLIFF WAY SUITE 600, Jacksonville, FL 32204. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2 SHIRCLIFF WAY SUITE 600, Jacksonville, FL 32204 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2860411188

Enrolled in Medicare 3 times, across 2 states:

StateEnrollment IDProvider type
Florida O20051116000430 Part B Supplier - Clinic/group Practice
Georgia O20051129000302 Part B Supplier - Clinic/group Practice
Florida O20200827001077 Mdpp Supplier - In-person Mdpp Supplier

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 3 separate enrolment records across 2 states (FL, GA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Neurological Surgery covers

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. NUCC Health Care Provider Taxonomy, code 207T00000X
Allopathic & Osteopathic Physicians Neurological Surgery

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207T00000X Neurological Surgery Physician primary
207R00000X Internal Medicine Physician FL
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease
207RC0001X Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology
207RC0001X Clinical Cardiac Electrophysiology Physician Clinical Cardiac Electrophysiology FL
207RP1001X Pulmonary Disease Physician Pulmonary Disease FL
207T00000X Neurological Surgery Physician FL
207V00000X Obstetrics & Gynecology Physician FL
208600000X Surgery Physician FL
2086S0129X Vascular Surgery Physician Vascular Surgery FL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1417987124 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJul 5, 2006
Last updatedOct 17, 2022
StatusActive
Practice address 2 SHIRCLIFF WAY
SUITE 600
Jacksonville, FL 32204
(904) 308-6769
Fax (904) 308-4072
Mailing address 4500 SALISBURY RD STE 210
Jacksonville, FL 32216
Other identifiers 276587000 · Medicaid (FL)
The last update on file is Oct 17, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417987124 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 8 7 1 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 8 5 1 4

Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417987124?
NPI 1417987124 is the National Provider Identifier assigned to ST VINCENTS AMBULATORY CARE INC in Jacksonville, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neurological Surgery Physician cover?
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and…
How do I contact ST VINCENTS AMBULATORY CARE INC?
The phone number on file with NPPES is (904) 308-6769, last updated Oct 17, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does ST VINCENTS AMBULATORY CARE INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417987124 a valid number?
Yes. 1417987124 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.