NPIMap

Organization Active NPI

Florida Institute of Pain Medicine LLC

Doing business as Florida Pain Physicians

  • Interventional Pain Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1194056283
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
FLORIDA INSTITUTE OF PAIN MEDICINE LLC
Doing business as
Florida Pain Physicians
Practice address
4796 Hodges Blvd Ste 101
Jacksonville, FL 32224-2209
Phone
(904) 449-7246
Fax
(904) 719-7571
NPI assigned
Jan 29, 2010
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Dr. Alexis A Jimenez, MDNPI 1942441746
Title
Partner
Phone
(904) 449-7246

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4796 Hodges Blvd Ste 101
Jacksonville, FL 32224-2209

Mailing address

4796 Hodges Blvd Ste 101
Jacksonville, FL 32224-2349
Phone (904) 449-7246

Other practice location 1

859 Park Ave Ste 102
Orange Park, FL 32073-4151
Phone (904) 449-7246

Other practice location 2

206 Ashourian Ave Ste 206
St Augustine, FL 32092-5107
Phone (904) 449-7246

Other practice location 3

57 Town Ct Ste 121
Palm Coast, FL 32164-2425
Phone (904) 593-9503

Other practice location 4

105 Whitehall Dr Ste 115
St Augustine, FL 32086-5269
Phone (904) 800-7246

Other practice location 5

2386 Dunn Ave Ste 111
Jacksonville, FL 32218-4751
Phone (904) 449-7246

Other identifiers 1

IdentifierTypeStateIssuer
6706420001OtherFLDME

Other names 1

  • Florida Pain Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181127000946 FL Part B Supplier - Clinic/Group Practice 4385769686 Receives reassigned benefits from 53 practitioners
Practice locations: Jacksonville, FL; St Augustine, FL; Palm Coast, FL; Orange Park, FL

Other NPIs with the same Medicare PAC ID 1

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

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
10D2154484Florida Institute of Pain Medicine LLC Dba4796 Hodges Blvd Ste 101, Jacksonville, FL 32224Certificate of waiverSep 12, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

4796 Hodges Blvd
Ste 101
Jacksonville, FL 32224
Phone (904) 449-7246

57 Town Ct
Ste 121
Palm Coast, FL 32164
Phone (904) 593-9503

206 Ashourian Ave
Ste 209
St Augustine, FL 32092
Phone (904) 800-7246

Practitioners & affiliated clinicians

Practitioners 75

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.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1194056283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242349",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4796 HODGES BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242209",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "859 Park Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734151",
            "country_code": "US",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Ashourian Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320925107",
            "country_code": "US",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 Town Ct Ste 121",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642425",
            "country_code": "US",
            "telephone_number": "904-593-9503",
            "fax_number": "904-719-7573",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Whitehall Dr Ste 115",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320865269",
            "country_code": "US",
            "telephone_number": "904-800-7246",
            "fax_number": "904-299-4116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2386 Dunn Ave Ste 111",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184751",
            "country_code": "US",
            "telephone_number": "904-449-7246",
            "fax_number": "904-719-7571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF PAIN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "904-449-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6706420001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Pain Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.