Mayo Clinic Jacksonville
Organization Active NPI Ambulatory Surgical Clinic/Center · Jacksonville, FL
NPI 1962499079 · NPPES record last updated Apr 15, 2026
Key facts
- NPI
- 1962499079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- License
- 872 (FL)
- Legal business name
- MAYO CLINIC JACKSONVILLE
- Practice address
- 4500 San Pablo Rd S
Jacksonville, FL 32224-1865 - Phone
- (904) 953-7355
- Fax
- (904) 953-1768
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Alice Rigdon
- Title
- Chief Financial Officer
- Phone
- (904) 953-0577
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Member of 1
Member organizations 10
Practitioners 1,595
-
Ejigayehu Abate, MD
-
Suhny Abbara, MD
-
Sara Abbas, PA-C
-
Carol Ann Abbott, ARNP, FNP-C
-
Martin Abel, MD
-
Andy Abril, MD
-
Aida Abud, PT
-
Marites Acampora, APRN
-
Joseph Accurso, MD
-
Michael Adalia, DNP
-
Demilade Adedinsewo, MBCHB
-
Paula Andrea Aduen, PHD
-
Shweta Agarwal, MD
-
Ali Agely, MD
-
Ana Gabriela Ahn, APRN
-
Meghna Ailawadhi, MD
-
Ayodeji Morenike Ajayi, MD, MPH
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Mayo Clinic Jacksonville Dba Mayo Clinic Jacksonville ASC for G I
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Mayo Clinic Jacksonville |
Hospital | Operational/Managerial Control | Jan 1, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080625000071 | FL | Part B Supplier - Ambulatory Surgical Center | 5698689297 |
Receives reassigned benefits from 1 practitioner Practice locations: Jacksonville, FL |
National Provider Directory
- Tax ID family
- Mayo Clinic Jax Medical
- Part of
- Mayo Clinic Jax Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 872 | FL | Yes |
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) 953-7355
Other names
- Mayo Clinic Jacksonville ASC for G.I.
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Other providers in Jacksonville, FL
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Mayo Clinic Jacksonville
- Colleen Mayo Friedman
- Mayo Medical Transportation LLC
- Shaune Mayo-Andrews
- Michael Rae Mayo
- Samuel Mayo
All providers in Jacksonville, FL · Ambulatory Surgical Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.