Jacksonville Endoscopy Centers LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1092 Issued in FL

Legal business name

JACKSONVILLE ENDOSCOPY CENTERS LLC

Doing business as

Jacksonville Center for Endoscopy

Practice address

1610 Barrs St Ste B
Jacksonville, FL 32204-4569

Phone

(904) 381-9393

Fax

(904) 265-6458

NPI assigned

Mar 2, 2017

Last updated

Jun 29, 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

Collin Lemaistre

Title

Authorized Official

Phone

(214) 213-0732

Specialties & licenses 1

Addresses

Other names 1

• JACKSONVILLE CENTER FOR ENDOSCOPY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jacksonville Endoscopy Centers LLC

  dba Jacksonville Center for Endoscopy - Southside

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1538609011

  0042569956

  Same PAC ID

Listed as

Jacksonville Endoscopy Centers LLC Dba Jacksonville Center for EndoscopyCCN 10C0001319

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

Tax ID family

Ability Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jacksonville Endoscopy Centers LLC

  dba Jacksonville Center for Endoscopy - Southside

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
  • NPI 1538609011
  NPD tax ID

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners, LLC

  dba Westover Hills Baptist Hospital

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1831970532

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1366982845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 BARRS ST",
            "address_2": "SUITE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044569",
            "telephone_number": "904-381-9393",
            "fax_number": "904-265-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BARRS ST STE B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044569",
            "telephone_number": "904-381-9393",
            "fax_number": "904-265-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE ENDOSCOPY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-213-0732"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JACKSONVILLE CENTER FOR ENDOSCOPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JACKSONVILLE CENTER FOR ENDOSCOPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacksonville Dentistry PLLC
• Jacksonville Emergency Consultants
• Jacksonville Emergency Consultants
• Jacksonville Emergency Dental North, PLLC (Jacksonville Emergency and Family Dental Care)
• Jacksonville Emergency Dental, P.a.
• Jacksonville Endoscopy Centers LLC (Jacksonville Center for Endoscopy - Southside)
• Jacksonville Ep PLLC
• Jacksonville ER & Hospital LLC
• Jacksonville Extended Care, LLC (Southpoint Terrace)
• Jacksonville Eyecare, Inc.

• 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 Jun 29, 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.