Jack M Matheny II, MD, LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

JACK M MATHENY II, MD, LLC

Doing business as

Better Health and Wellness Clinic

Practice address

800 Zeagler Dr Ste 400
Palatka, FL 32177-3827

Phone

(386) 227-6768

NPI assigned

Jun 3, 2025

Last updated

Jun 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Satish RaviNPI 1417024183

Title

Owner

Phone

(386) 227-6768

Specialties & licenses 1

Addresses

Other names 1

• Better Health and Wellness Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437042785. Details of each certification follow.

• CCN 683853 Rural health clinic · Details

Rural health clinic certification: CCN 683853

Legal name

JACK M MATHENY II, MD, LLC

Doing business as

BETTER HEALTH AND WELLNESS CLINIC

Organization structure

LLCProprietary

Enrollment address

800 Zeagler Dr
Ste 400
Palatka, FL 32177-3827

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jack M Matheny II, MD, LLC

  • Primary Care Clinic/Center
  • Palatka, FL
  • NPI 1578399747

  7012426745

  Same PAC ID

Tax ID family

Better Health and Wellness Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jack M Matheny II, MD, LLC

  • Primary Care Clinic/Center
  • Palatka, FL
  • NPI 1578399747
  NPD tax ID

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Satish Ravi, M.D

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1417024183

  5% Or Greater Indirect Ownership Interest, Operational/Managerial Control

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Satish Ravi, M.D

  • Internal Medicine Physician
  • Palatka, FL
  • NPI 1417024183
  NPD Authorized official
• Tera J Gwaldis, APRN

  • Family Nurse Practitioner
  • Elkton, FL
  • NPI 1821696303
  NPD

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1437042785",
    "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",
            "telephone_number": "386-227-6768"
        },
        {
            "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": "386-227-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M MATHENY II, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "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": "OWNER",
        "authorized_official_telephone_number": "386-227-6768"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Health and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Better Health and Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rural Health Clinic/Center in Palatka, FL
• Providers in Palatka, FL by specialty
• Rural Health Clinic/Center in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.