MAYO CLINIC JACKSONVILLE ASC FOR G.I.
NPI 1962499079
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

NPI Status: Active since October 04, 2005

Contact Information

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 953-7355
Fax: (904) 953-1768

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About MAYO CLINIC JACKSONVILLE ASC FOR G.I.

This page provides the complete NPI Profile along with additional information for Mayo Clinic Jacksonville Asc For G.i., a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962499079 assigned on October 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 872 (FL). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mayo Clinic Jacksonville Asc For G.i.. The authorized official of this NPI record is Alice Rigdon (Chief Financial Officer)

NPI
1962499079
Provider Legal Name
MAYO CLINIC JACKSONVILLE
Other Organization Name
MAYO CLINIC JACKSONVILLE ASC FOR G.I.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Location Phone
(904) 953-7355
Location Fax
(904) 953-1768
Mailing Address
4500 SAN PABLO RD S JACKSONVILLE, FL 32224
Mailing Phone
(904) 953-7355
Mailing Fax
(904) 953-1768
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-04-2005
Last Update Date
03-30-2023
Code Navigator



Mayo Clinic Jacksonville Asc For G.i. is a medicare supplier with PTAN 23282815 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Antiemetic Drugs or External Infusion Pumps and/or Supplies or Ostomy Supplies or Parenteral Nutrients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
872
License State
FL

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
  • BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
  • BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
  • BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICE RIGDON

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(904) 953-0577

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

This service was performed 24 times for 23 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 447 times for 439 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 757 times for 751 patients

Biopsy of lower large bowel using a flexible endoscope

A biopsy of the lower large bowel involves using a flexible tube with a camera (endoscope) to examine this part of your digestive tract. Small tissue samples may be taken for further examination to detect any abnormalities.

This service was performed 26 times for 26 patients

Colorectal cancer screening; colonoscopy on individual at high risk

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

This service was performed 194 times for 194 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 78 times for 78 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

This service was performed 61 times for 60 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 77 times for 76 patients

Injection beneath lining of large bowel using a flexible endoscope

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

This service was performed 72 times for 72 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 528 times for 523 patients

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
23282815
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Antiemetic Drugs - FDA antiemetic drugs
  • External Infusion Pumps and/or Supplies - An infusion pump is necessary to safely administer the drug
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Parenteral Nutrients - Parenteral nutrient solutions

Reviews for MAYO CLINIC JACKSONVILLE ASC FOR G.I.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962499079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291228918014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 8 + 9 + 1 + 8 + 0 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1962499079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MS. KATHERINE ANN LEMASTER LCSW, RN

Social Worker

(Clinical)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 296-3700

MS. NANCY DALTON CRNA

Nurse Anesthetist, Certified Registered

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 296-4667

DR. ROBERT ALLEN GILLHAM JR. M.D.

Allergy & Immunology

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. GEOFFREY STEVEN GATES M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. THOMAS PATRICK FOX M.D.

Internal Medicine

(Endocrinology, Diabetes & Metabolism)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. GRETCHEN KAY LIPKE M.D.

Emergency Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. PHILIP PAUL METZGER M.D.

Colon & Rectal Surgery

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. SANFORD JOSPEH FINCK M.D.

Internal Medicine

(Critical Care Medicine)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. JAN MARIE LARSON M.D.

Family Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. JERRY WAYNE SAYRE M.D.

Family Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. WALTER CLYBURN TAYLOR III M.D.

Family Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. JAMES SAMUEL SCOLAPIO M.D.

Internal Medicine

(Gastroenterology)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. RONALD ALBERT HINDER M.D.

Surgery

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. WILLIAM JAMES MAPLES M.D.

Internal Medicine

(Hematology & Oncology)

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. SHARON YVETT EZELL GERLACH M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. FRANCOIS LETTE M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. KAY MULLINAX MITCHELL M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. KENNETH GORDON NIX JR. M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. KATHLEEN ALLEN ROWLETT M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

DR. JAMES HANNIS STEWART M.D.

Internal Medicine

4500 SAN PABLO RD S
JACKSONVILLE, FL
ZIP 32224

(904) 953-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962499079, enumerated as an "organization" on October 04, 2005.

The provider is located at 4500 SAN PABLO RD S JACKSONVILLE, FL 32224 and the phone number is (904) 953-7355.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.