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JACK M. MATHENY II, M.D.
NPI 1184671844
Family Medicine in Palatka, FL

Active since May 28, 2006CLIA Certified · 2 labs
700 ZEAGLER DR STE 10, PALATKA, FL 32177(328) 328-6746 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack M. Matheny Ii, M.d. NPPES

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

JACK M. MATHENY II, M.D. (NPI 1184671844) is a healthcare organization registered as a family medicine in Palatka, Florida and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Jack Meadows Matheny, Owner, as its authorized official.

NPPES Registry Identity

NPI1184671844
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJACK M. MATHENY II, M.D.
Location Address700 ZEAGLER DR STE 10Palatka, FL 32177-3826
Mailing Address205 Zeagler Dr, Ste 101Palatka, FL 32177-3888 · (328) 328-6746
Phone(328) 328-6746
Organization SubpartYesParent: Jack M Matheny Ii Md
Authorized OfficialJack Meadows MathenyOwner · (386) 328-6746
Enumeration DateMay 28, 2006
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1184671844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
700 ZEAGLER DR STE 10, Palatka, FL 32177
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Other Identifiers 2

Medicaid372143401FL
Medicaid372143400FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0268245

Jack M Matheny II MD · Palatka, FL
Active · expires Nov 30, 2026
CLIA Number10D0268245
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorJack M. Matheny II
Laboratory Phone(386) 328-6746
Laboratory LocationJack M Matheny II MD700 Zeagler Dr Ste 10, Palatka, FL 32177
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2327547

Jack M Matheny II MD LLC · Palatka, FL
Active · expires Jul 23, 2027
CLIA Number10D2327547
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorSatish Ravi
Laboratory Phone(386) 328-6746
Laboratory LocationJack M Matheny II MD LLC800 Zeagler Dr, Suite 400, Palatka, FL 32177
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MRS. BRANDI NICOLE CLARKE APRN
Nurse Practitioner (Family)
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (386) 328-6746
JACK M MATHENY II
Family Medicine
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (386) 328-6746
JACK M. MATHENY II, MD
Family Medicine
700 ZEAGLER DR STE 10
PALATKA, FL 32177
Putnam County (386) 328-6746

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 Jack M. Matheny II, M.D.'s NPI number?

The NPI number for Jack M. Matheny II, M.D. is 1184671844. It was assigned to this organization in the NPPES registry on May 28, 2006.

Where is Jack M. Matheny II, M.D. located?

Jack M. Matheny II, M.D. is located at 700 Zeagler Dr Ste 10, Palatka, FL 32177. The listed phone number is (328) 328-6746.

What is Jack M. Matheny II, M.D.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jack M. Matheny II, M.D. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Jack M. Matheny II, M.D. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Jack M. Matheny II, M.D. 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 Jack M. Matheny II, M.D. was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.