Active NPI
American Access Care of Jacksonville ASC LLC
- Ambulatory Surgical Clinic/Center
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC
- Practice address
- 2416 Dunn Ave
Jacksonville, FL 32218-4604 - Phone
- (904) 353-3664
- NPI assigned
- Mar 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Miller, MD
- Title
- Authorized Official
- Phone
- (717) 515-4048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2416 Dunn Ave
Jacksonville, FL 32218-4604
Mailing address
PO Box 419642
Boston, MA 02241-9642
Phone (610) 644-8900
Other practice location 1
800 Lomax St
Suite 100A
Jacksonville, FL 32204-3927
Phone (904) 353-3664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101656000 | Medicaid | FL |
Other names 1
- Azura Surgery Center Jacksonville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170804001869 | FL | Part B Supplier - Ambulatory Surgical Center | 9436420742 | Practice locations: Jacksonville, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Azura Surgery Center Jacksonville
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Vascular & Interventional Radiology Physician
- Jacksonville, FL
- NPI 1669771168
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Bristol, TN
- NPI 1477570117
Member Of
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1942273560
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1427013796
-
- Vascular & Interventional Radiology Physician
- Saint Augustine, FL
- NPI 1972681542
-
- Vascular & Interventional Radiology Physician
- Mishawaka, IN
- NPI 1205891140
-
- Vascular & Interventional Radiology Physician
- Houston, TX
- NPI 1659532174
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1578094462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419642",
"city": "BOSTON",
"state": "MA",
"postal_code": "022419642",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2416 DUNN AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322184604",
"telephone_number": "904-353-3664"
}
],
"practiceLocations": [
{
"address_1": "800 Lomax St",
"address_2": "Suite 100A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322043927",
"country_code": "US",
"telephone_number": "904-353-3664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AMERICAN ACCESS CARE OF JACKSONVILLE ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-23",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "717-515-4048",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101656000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Azura Surgery Center Jacksonville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jacksonville, FL
- Aboubakr Gamal Ramadan Tohamy Amer, M.D.
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Best Contacts & Eyeglasses
- America'S Center for Translations
- American Access Care of Jacksonville LLC
- American Anesthesiology of North Florida LLC
- American Care of North Florida, Inc
- American Care of North Florida, Inc
- American Care of North Florida, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.