Active NPI
Surgery Center Operations, LLC
- Ambulatory Surgical Clinic/Center
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGERY CENTER OPERATIONS, LLC
- Practice address
- 4796 Hodges Blvd # 105-108
Jacksonville, FL 32224-2209 - Phone
- (904) 449-7246
- Fax
- (904) 719-7571
- NPI assigned
- Apr 7, 2021
- 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
- Alexis A A Jimenez, MD
- Title
- Physician
- Phone
- (786) 597-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4796 Hodges Blvd # 105-108
Jacksonville, FL 32224-2209
Mailing address
4796 Hodges Blvd # 105-108
Jacksonville, FL 32224-2348
Phone (904) 449-7246
Other names 1
- Rivercity Surgery Center
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | help@floridapainphysician.com | Direct | |
| Other URL | rsc@rivercitysurgery.com | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220105000489 | FL | Part B Supplier - Ambulatory Surgical Center | 6002207842 | Practice locations: Jacksonville, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Center Operations LLC Dba Rivercity Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2235150 | Rivercity Surgery Center | Certificate of waiver | Sep 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
4796 Hodges Blvd
Ste 105108
Jacksonville, FL 32224
4796 Hodges Blvd
#105108
Jacksonville, FL 32224
Phone (904) 449-7246
4796 Hodges Blvd
Ste 105
Jacksonville, FL 32224
Phone (904) 593-5093
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1144290677
-
- Interventional Pain Medicine Physician
- Jacksonville, FL
- NPI 1942441746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1992384739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4796 HODGES BLVD # 105-108",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242348",
"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 # 105-108",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242209",
"telephone_number": "904-449-7246",
"fax_number": "904-719-7571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-07",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "A JIMENEZ",
"authorized_official_first_name": "ALEXIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "786-597-2227",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "help@floridapainphysician.com",
"affiliation": "N",
"endpointDescription": "web address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4796 Hodges Blvd # 105-108",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322242209",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rsc@rivercitysurgery.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "n/a",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email address",
"address_1": "4796 Hodges Blvd # 105-108",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322242209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Rivercity Surgery Center",
"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 May 27, 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.