MAYO CLINIC JACKSONVILLE
NPI 1962499079
Clinic/Center - Ambulatory Surgical in Jacksonville, FL

Q: What is Mayo Clinic Jacksonville's NPI number?

The NPI number for Mayo Clinic Jacksonville is 1962499079. It was assigned to this organization in the NPPES registry on October 4, 2005. The provider is doing business as Mayo Clinic Jacksonville ASC for G.I..

Q: What is Mayo Clinic Jacksonville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 04, 2005

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-7355(904) 953-1768 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Aug 15, 2025, Mar 30, 2023 and 1 more (4 updates tracked since 2021).

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About Mayo Clinic Jacksonville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYO CLINIC JACKSONVILLE (NPI 1962499079), doing business as Mayo Clinic Jacksonville Asc For G.i., is a healthcare organization registered as an ambulatory surgical in Jacksonville, Florida and active in the NPI registry since October 2005. The organization lists Alice Rigdon, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1962499079

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMAYO CLINIC JACKSONVILLE

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-7355 · Fax (904) 953-1768

Phone(904) 953-7355

Fax(904) 953-1768

Organization SubpartNo

Authorized OfficialAlice RigdonChief Financial Officer · (904) 953-0577

Enumeration DateOctober 4, 2005

Last NPPES UpdateApril 15, 20264 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1962499079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in FL · 872

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Other Names 1

Doing Business AsMayo Clinic Jacksonville Asc For G.i.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380

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.

502 services500 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

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.

375 services371 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

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.

252 services241 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

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.

154 services154 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

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.

82 services82 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

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.

50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Mayo Clinic Jacksonville carries, from the Medicare DMEPOS supplier directory.

Mayo Clinic Jacksonville

DMEPOS supplier · Jacksonville, FL

✔

Accepts Medicare assignment

Mayo Clinic Jacksonville agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)23282815

Medicare Participant SinceJanuary 1, 2020

Supplier Location4500 San Pablo Rd S Bldg Jamg, Ste 2131Jacksonville, FL 32224

Phone(904) 956-2065

Supplier Specialties

Pharmacy

Medicare Product Categories

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

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE L WALSH PA-C/MPH

Physician Assistant