NPIMap

Organization Active NPI

Well & You ASC, LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1306679279
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WELL & YOU ASC, LLC
Practice address
15492 Max Leggett Pkwy Ste 5
Jacksonville, FL 32218-2681
Phone
(904) 893-4464
NPI assigned
Aug 24, 2024
Last updated
Aug 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Jordan Musa
Title
Risk Manager/Administrator
Phone
(904) 210-0862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

15492 Max Leggett Pkwy Ste 5
Jacksonville, FL 32218-2681

Mailing address

15492 Max Leggett Pkwy Ste 5
Jacksonville, FL 32218-2681
Phone (904) 893-4464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250113003465 FL Part B Supplier - Ambulatory Surgical Center 5799213187 Practice locations: Jacksonville, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306679279. Details of each certification follow.

Ambulatory surgical center certification: CCN 10C0001765

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WELL & YOU ASC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jun 5, 2025
Last certification
Jun 5, 2025
Ownership / control type
Proprietary
Facility address
15492 Max Leggett Pkwy
Jacksonville, FL 32218

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2316566Well & You ASC LLC15492 Max Leggett Parkway Suite 5, Jacksonville, FL 32218Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

15492 Max Leggett Pkwy
Jacksonville, FL 32218

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJHCDD

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1306679279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15492 MAX LEGGETT PKWY STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182681",
            "telephone_number": "904-893-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15492 MAX LEGGETT PKWY STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182681",
            "telephone_number": "904-893-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL & YOU ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "MUSA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "RISK MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "904-210-0862"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.