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DR. RANDY JAMES PROKES M.D.
NPI 1831147404
Family Medicine in Jacksonville, FL

Active since May 05, 2006PECOS Enrolled
13457 ATLANTIC BLVD, SUITE 5, JACKSONVILLE, FL 32225(904) 221-9110(904) 220-9110 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Randy James Prokes M.d. NPPES

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

DR. RANDY JAMES PROKES M.D. (NPI 1831147404) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (ME45570) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831147404
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDY JAMES PROKESCredential: M.D.
Location Address13457 ATLANTIC BLVD, SUITE 5Jacksonville, FL 32225-3293
Mailing Address13457 Atlantic Blvd, Suite 5Jacksonville, FL 32225-3293 · (904) 221-9110 · Fax (904) 220-9110
Phone(904) 221-9110
Fax(904) 220-9110
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateOctober 19, 2012
✔ NPI 1831147404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME45570
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.
13457 ATLANTIC BLVD, Jacksonville, FL 32225
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Other Identifiers 2

Medicare UPIND85098
Medicare PIN14108VFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randy James Prokes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Randy Prokes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Solantic Of Jacksonville, LLC
15 mi
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
NPI 1407893100 (904) 543-3677

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DE URGENT CARE JAX PA
Clinic/Center (Urgent Care)
13457 ATLANTIC BLVD, SUITE 5
JACKSONVILLE, FL 32225
Duval County (904) 221-9110
DR. JAMES PERIN MD
General Practice
13457 ATLANTIC BLVD, SUITE #5
JACKSONVILLE, FL 32225
Duval County (904) 291-9596

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 Randy Prokes's NPI number?

The NPI number for Randy Prokes is 1831147404. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Randy Prokes located?

Randy Prokes practices at 13457 Atlantic Blvd Suite 5, Jacksonville, FL 32225. The listed phone number is (904) 221-9110.

What is Randy Prokes's specialty?

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

Is Randy Prokes enrolled in Medicare?

Yes. Randy Prokes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Randy Prokes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randy Prokes reassigns Medicare benefits to Solantic Of Jacksonville, LLC (Ponte Vedra, FL). The 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 Randy Prokes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randy Prokes was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.