Active NPI
James Randall Patrinely Jr., MD
- Dermatology Physician
- Ponte Vedra Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME178015
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210702000664 | FL | Order and Referring Only - Internal Medicine | 8224439864 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaches Dermatology, P.a. | Dermatology | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.