Organization Active NPI

Concierge Medicine

  • Internal Medicine Physician
  • Palatka, FL
National Provider Identifier
1053082172
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CONCIERGE MEDICINE
Practice address
800 Zeagler Dr Ste 400
Palatka, FL 32177-3827
Phone
(904) 419-8764
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Satish Ravi, MD
Title
President
Phone
(386) 227-6768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

800 Zeagler Dr Ste 400
Palatka, FL 32177-3827

Mailing address

PO Box 330196
Atlantic Beach, FL 32233-0196

National Provider Directory

National Provider Directory

Locations

6885 Belfort Oaks Pl
Ste 230
Jacksonville, FL 32216
Phone (904) 222-6176

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1053082172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330196",
            "city": "ATLANTIC BEACH",
            "state": "FL",
            "postal_code": "322330196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 400",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "904-419-8764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-227-6768",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.