Samantha Jeannette Mikals, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101256678 Issued in VA

Practice address

7510 Gate Pkwy Ste 201
Jacksonville, FL 32256-3107

Phone

(904) 440-0863

Fax

(904) 901-8673

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Jacksonville Concierge Medicine LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1891681037
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1265870653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-909",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-440-0863",
            "fax_number": "904-901-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 GATE PKWY STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563107",
            "telephone_number": "904-440-0863",
            "fax_number": "904-901-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKALS",
        "first_name": "SAMANTHA",
        "middle_name": "JEANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101256678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mignone, MD
• Dennis P Mihale, MD
• Mark Mihaly, AP
• Jennifer Miiller, PA
• Kyle Mikals, M.D.
• Charlotte Mikan
• Raymond J Mikelionis, M.D.
• Angelica Mikell
• Lee Mikell, LMHC
• Tamra Coffee Mikell

• Otolaryngology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.