OrganizationActive
Concierge Medicine
NPI 1053082172 · Internal Medicine Physician · Palatka, FL
Provider details
- NPI number
- 1053082172
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Satish Ravi, President(386) 227-6768
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Zeagler Dr Ste 400
Palatka, FL 32177-3827
Phone: (904) 419-8764
Street-level locationGet directions
Mailing address
Po Box 330196
Atlantic Beach, FL 32233-0196
Registry dates
- Enumerated
- 2021-09-28
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.