Jack M. Matheny II, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JACK M. MATHENY II, MD

Practice address

700 Zeagler Dr Ste 10
Palatka, FL 32177-3826

Phone

(386) 328-6746

Fax

(386) 328-7554

NPI assigned

Apr 2, 2007

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

JACK M MATHENY II MDAs reported in NPPES

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

Authorized official

Name

Satish Ravi, MDNPI 1417024183

Title

Authorized Official

Phone

(386) 328-6746

Specialties & licenses 3

Addresses

Other names 1

• JACK M. MATHENY II, MD, RHC Other name

Part of

Jack M Matheny II MD

Locations

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
  Authorized official Same address or phone
• Mehdi M Moezi, MD

  • Hematology & Oncology Physician
  • Fleming Island, FL
  • NPI 1053316190
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1629198544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 10",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-328-6746",
            "fax_number": "386-328-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ZEAGLER DR STE 10",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773826",
            "telephone_number": "386-328-6746",
            "fax_number": "386-328-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK M. MATHENY II, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JACK M MATHENY II MD",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-02",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "SATISH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "386-328-6746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JACK M. MATHENY II, MD, RHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.