NPIMap

Individual provider Active NPI

John G. Symeonides, MD

  • Family Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1063600310
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME83577 Issued in FL
Practice address
145 Cypress Point Pkwy
Unit 105
Palm Coast, FL 32164-8426
Phone
(386) 283-5654
NPI assigned
Oct 11, 2007
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME83577 FL Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X ME83577 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X ME83577 FL
Sleep Medicine (Family Medicine) Physician 207QS1201X ME83577 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X ME83577 FL

Addresses

Primary practice location

145 Cypress Point Pkwy
Unit 105
Palm Coast, FL 32164-8426

Mailing address

PO Box 354034
Palm Coast, FL 32135-4034

Other identifiers 1

IdentifierTypeStateIssuer
62859OtherFLFLORIDA BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000484 FL Practitioner - Family Practice 7113997651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

145 Cypress Point Pkwy
Suite 105
Palm Coast, FL 32164-8427
Phone (386) 283-5654

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME83577FLMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John G Symeonides M D LLC Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
Paul D Jayachandra M D P a Past Accepting new patients
Ygeia Health Center Family Medicine Past Accepting new patients
Ygeia Health Center Addiction Medicine Past Accepting new patients
Bunnell Medical Center Inc Family Medicine Past Accepting new patients

Locations

145 Cypress Point Pkwy
Ste 105
Palm Coast, FL 32164
Phone 3862385654901

21 Utility Dr
Ste D
Palm Coast, FL 32137
Phone (386) 246-7596

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1063600310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354034",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321354034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 CYPRESS POINT PKWY",
            "address_2": "UNIT 105",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648426",
            "telephone_number": "386-283-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMEONIDES",
        "first_name": "JOHN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83577",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME83577",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME83577",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME83577",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME83577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "62859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.