Organization Active NPI

Surgery Center Operations, LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1992384739
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on May 27, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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 CenterCCN 10C0001691
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2235150Rivercity Surgery Center4796 Hodges Blvd Ste 105-108, Jacksonville, FL 32224Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.