Centurion Surgery Center of Jacksonville, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTURION SURGERY CENTER OF JACKSONVILLE, LLC

Doing business as

Centurion Surgery Center Of Jacksonville

Practice address

5191 First Coast Tech Pkwy
1St Floor
Jacksonville, FL 32224

Phone

(904) 593-5146

Fax

(904) 593-6642

NPI assigned

May 26, 2022

Last updated

Feb 25, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia M Groth

Title

Credentialing Manager

Phone

(904) 223-3321

Specialties & licenses 1

Addresses

Other names 1

• Centurion Surgery Center Of Jacksonville Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Centurion Surgery Center of Jacksonville LLCCCN 10C0001717

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Edmund Carey, M.D.

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
  • NPI 1821069055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1053059220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY FL 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322240609",
            "telephone_number": "904-593-5146",
            "fax_number": "904-593-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 FIRST COAST TECH PKWY",
            "address_2": "1ST FLOOR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-593-5146",
            "fax_number": "904-593-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURION SURGERY CENTER OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "GROTH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "904-223-3321"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centurion Surgery Center Of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Centurion Surgery Center Of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Centerwell Senior Primary Care FL JV PLLC (Conviva Philips Highway)
• Centerwell Senior Primary Care FL JV PLLC (Conviva San Jose)
• Centerwell Senior Primary Care FL JV PLLC (Conviva Atlantic)
• Central Counseling Services, LLC
• Central Counseling Services, LLC
• Century Ambulance Service, Inc. (Century EMS - Columbia County)
• Cep America LLC
• Cep America LLC
• Cep America LLC
• Cep America LLC

• Ambulatory Surgical Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.