Jack M Matheny II, MD, LLC
NPI 1578399747 · Primary Care Clinic/Center · Palatka, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack M Matheny II, MD, LLC is a Primary Care Clinic/Center organization in Palatka, FL (NPI 1578399747).
Provider details
- NPI number
- 1578399747
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Satish Ravi, Director(386) 328-6746
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 700 Zeagler Dr Ste 10Palatka, FL 32177-3826Phone: (386) 328-6746
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2025-06-18
- Certified
- 2025-06-18
Frequently asked questions
- What is Jack M Matheny II, MD, LLC's NPI number?
- Jack M Matheny II, MD, LLC's National Provider Identifier (NPI) is 1578399747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack M Matheny II, MD, LLC?
- Jack M Matheny II, MD, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jack M Matheny II, MD, LLC located?
- Jack M Matheny II, MD, LLC's practice location on file with NPPES is 800 Zeagler Dr Ste 400, Palatka, FL 32177-3827.
- What is Jack M Matheny II, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jack M Matheny II, MD, LLC is (386) 328-6746.
- Does Jack M Matheny II, MD, LLC accept Medicare?
- Jack M Matheny II, MD, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jack M Matheny II, MD, LLC?
- The authorized official listed on Jack M Matheny II, MD, LLC's NPPES record is Satish Ravi, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack M Matheny II, MD, LLC's NPI active?
- Yes — Jack M Matheny II, MD, LLC's NPI (1578399747) is active in the NPPES registry as of the last update on 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.