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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayo Clinic Jacksonville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mayo Clinic Jacksonville, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adrian Gonzalez Gil, M.D.
Endocrinology
NPI 1811570179
ONE BAYLOR PLAZA
Houston, TX 77030
(713) 798-5928
✔ PECOS✔ Accepts Medicare820 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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..

Where is Mayo Clinic Jacksonville located?

Mayo Clinic Jacksonville is located at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-7355.

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.

Is Mayo Clinic Jacksonville enrolled in Medicare?

Yes. Mayo Clinic Jacksonville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mayo Clinic Jacksonville?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Mayo Clinic Jacksonville. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mayo Clinic Jacksonville accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mayo Clinic Jacksonville accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Mayo Clinic Jacksonville accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Mayo Clinic Jacksonville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayo Clinic Jacksonville was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.