Individual provider Active NPI

James Randall Patrinely Jr., MD

  • Dermatology Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1407433063
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME178015 Issued in FL
Practice address
103 Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone
(904) 273-2717
NPI assigned
Mar 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME178015 FL
Dermatology Physician 207N00000X ME178015 FL Primary

Addresses

Primary practice location

103 Solana Rd
Ponte Vedra Beach, FL 32082-2231

Mailing address

103 Solana Rd
Ponte Vedra Beach, FL 32082-2231
Phone (904) 273-2717

Other practice location 1

13111 Atlantic Blvd
#4
Jacksonville, FL 32225
Phone (904) 221-3100

Other practice location 2

791 Amelia Island Pkwy
Fernandina Beach, FL 32034-9126
Phone (904) 273-2717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702000664 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8224439864

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beaches Dermatology, P.a. Dermatology CurrentSince Sep 1, 2026 Accepting new patients

Locations

791 Amelia Island Pkwy
Fernandina Beach, FL 32034
Phone (904) 273-2717

103 Solana Rd
#B
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

103 Solana Rd
Ponte Vedra Beach, FL 32082
Phone (904) 273-2717

Interoperability endpoints

  • Direct secure messaging: jpatrinely162431@direct.vumc.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1407433063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822231",
            "telephone_number": "904-273-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SOLANA RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822231",
            "telephone_number": "904-273-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 Atlantic Blvd",
            "address_2": "#4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32225",
            "country_code": "US",
            "telephone_number": "904-221-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "791 Amelia Island Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320349126",
            "country_code": "US",
            "telephone_number": "904-273-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATRINELY",
        "first_name": "JAMES",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-28",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME178015",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME178015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.