Active NPI
John G Symeonides M D LLC
- Family Medicine Physician
- Palm Coast, FL
National Provider Identifier
1508802604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JOHN G SYMEONIDES M D LLC
- Practice address
- 145 Cypress Point Pkwy
Unit 105
Palm Coast, FL 32164-8426 - Phone
- (386) 246-7596
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John G Symeonides, M.D.
- Title
- Physician
- Phone
- (386) 864-9800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| 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
Phone (386) 864-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080403000012 | FL | Part B Supplier - Clinic/Group Practice | 2769569623 |
Receives reassigned benefits from 5 practitioners Practice locations: Palm Coast, FL |
National Provider Directory
National Provider DirectoryLocations
145 Cypress Point Pkwy
Palm Coast, FL 32164
Phone (386) 283-5654
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Daytona Beach, FL
- NPI 1184568909
-
- Family Nurse Practitioner
- Palm Coast, FL
- NPI 1316303670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785888000000",
"number": "1508802604",
"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",
"telephone_number": "386-864-9800"
},
{
"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": "386-246-7596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G SYMEONIDES M D LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-20",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A",
"authorized_official_last_name": "SYMEONIDES",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "386-864-9800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME83577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.