JACK M MATHENY II, MD, LLC
NPI 1578399747
Clinic/Center - Primary Care in Palatka, FL
About Jack M Matheny Ii, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK M MATHENY II, MD, LLC (NPI 1578399747) is a healthcare organization registered as a primary care in Palatka, Florida and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Palatka and lists Satish V Ravi, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jack M Matheny Ii, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Jack M Matheny II, MD, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MD, LLC's NPI number?
The NPI number for Jack M Matheny II, MD, LLC is 1578399747. It was assigned to this organization in the NPPES registry on September 12, 2024.
Where is Jack M Matheny II, MD, LLC located?
Jack M Matheny II, MD, LLC is located at 800 Zeagler Dr Ste 400, Palatka, FL 32177. The listed phone number is (386) 328-6746.
What is Jack M Matheny II, MD, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Jack M Matheny II, MD, LLC enrolled in Medicare?
Yes. Jack M Matheny II, MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jack M Matheny II, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jack M Matheny II, MD, LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jack M Matheny II, MD, LLC was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Jack M Matheny Ii, Md, Llc · NPI 1578399747
Primary Care organization in Palatka, Florida. Organization record, active in the CMS NPPES registry since September 12, 2024.
## Identity
- **NPI:** 1578399747 (Entity type: Organization)
- **Enumerated:** September 12, 2024
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Satish Ravi, DIRECTOR
## Practice location
- **Address:** 800 ZEAGLER DR STE 400, Palatka, FL 32177-3827
- **Phone:** (386) 328-6746 · **Fax:** (386) 328-7554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578399747) · Data from the CMS NPPES public registry.