NPIMap

Organization Active NPI

Mayo Clinic Florida

  • General Acute Care Hospital
  • Jacksonville, FL
National Provider Identifier
1891782470
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4438 Issued in FL
Legal business name
MAYO CLINIC FLORIDA
Practice address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000
Fax
(904) 953-1768
NPI assigned
Sep 29, 2005
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Alice Rigdon
Title
Chief Financial Officer
Phone
(904) 953-0577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4438 FL Primary

Addresses

Primary practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone (904) 953-2000

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050412000586 FL Part A Provider - Hospital 3971496514 Practice locations: Jacksonville, FL

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891782470. Details of each certification follow.

Hospital certification: CCN 100151

Legal name
MAYO CLINIC FLORIDA
Doing business as
MAYO CLINIC JACKSONVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 8, 1966
Last certification
May 14, 2021
Beds
434
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jul 29, 1903 in FL
Enrollment address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 109806

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
MAYO CLINIC
Certification status
Active
Provider type (POS)
Hospital – Transplant
Participating since
Apr 5, 2010
Last certification
Feb 19, 2026
Facility address
4500 San Pablo Road S
Jacksonville, FL 32224

Other NPIs with the same Medicare PAC ID 1

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

  • Mayo Clinic Florida

    dba Mayo Clinic Outpatient Dialysis Center

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Jacksonville, FL
    • NPI 1659355725

    3971496514

    Same PAC ID

Care Compare: Hospital

Medicare Care Compare
Listed as
Mayo ClinicCCN 100151 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Lukes Hospital2 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.

  • Mayo Clinic Florida

    dba Mayo Clinic Outpatient Dialysis Center

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Jacksonville, FL
    • NPI 1659355725
    NPD tax ID

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 23

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Bruce Individual Corporate DirectorBoard Member Jan 1, 2020
Bryan Springer Individual Corporate DirectorBoard Member Jan 1, 2026
Margaret M Johnson Individual Corporate DirectorBoard Member Jan 1, 2014
Sanjay P Bagaria Individual Corporate DirectorBoard Member Jan 1, 2026
James F Meschia Individual Corporate DirectorBoard Member Jan 1, 2023
Sarah McLaughlin Individual Corporate OfficerVice Chair Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2017
Alice Rigdon Individual Corporate OfficerCfo & Treasurer Feb 1, 2020
Corporate DirectorBoard Member Feb 1, 2020
Roxana S Dronca Individual Corporate DirectorBoard Member Jan 1, 2019
Jason S Eldrige Individual Corporate DirectorBoard Member Jan 1, 2025
Ajani Dunn Individual Corporate OfficerCao & Secretary Dec 1, 2021
Corporate DirectorBoard Member Dec 1, 2021
David D Thiel Individual Corporate DirectorBoard Member Dec 3, 2020
Chrisandra L Shufelt Individual Corporate DirectorBoard Member Jan 1, 2025
Jeffrey R Janus Individual Corporate DirectorBoard Member Jan 1, 2023
Sebastian Fernandez-Bussy Individual Corporate DirectorBoard Member Mar 4, 2026
Mayo Clinic Jacksonville Organization, Jacksonville, FL Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2005
Kent Thielen Individual Corporate OfficerCeo Jan 1, 2019
Corporate DirectorBoard Member Jan 1, 2019
Operational/Managerial ControlCeo Jan 1, 2019
Mayo Clinic Organization, Rochester, MN Corporation, Non-profit Operational/Managerial Control Jan 1, 2005
Olayemi Sokumbi Individual Corporate DirectorBoard Member Jan 1, 2025
Grace Lin Individual Corporate DirectorBoard Member Jan 1, 2026
Stephanie Faubion Individual Corporate DirectorBoard Member May 27, 2020
Abhishek Bikkani Individual Corporate OfficerAssistant Secretary Aug 2, 2023
William C Palmer Individual Corporate DirectorBoard Member May 1, 2026
Tera L Gross Individual Corporate DirectorBoard Member Feb 19, 2020

Owners & managing parties with NPI records 27

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 27

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 1,529

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,529

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1891782470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000",
            "fax_number": "904-953-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000",
            "fax_number": "904-953-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO CLINIC FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "904-953-0577"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "4438",
            "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.