OrganizationActive
Jack M. Matheny II, MD
NPI 1629198544 · Family Medicine Physician · Palatka, FL
Provider details
- NPI number
- 1629198544
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Jack M Matheny II MD
- Organization subpart
- Yes
- Authorized official
- Satish Ravi, Authorized Official(386) 328-6746
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
700 Zeagler Dr Ste 10
Palatka, FL 32177-3826
Phone: (386) 328-6746
Fax: (386) 328-7554
Street-level locationGet directions
Mailing address
700 Zeagler Dr Ste 10
Palatka, FL 32177-3826
Other names (DBA / former)
- Other name
- Jack M. Matheny II, MD, Rhc
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2025-09-02
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.