Active NPI
Raymond J Mikelionis, M.D.
- Family Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME138012
- Practice address
- 4063 Salisbury Rd # 110
Jacksonville, FL 32216-8030 - Phone
- (904) 440-6049
- Fax
- (904) 341-5624
- NPI assigned
- Jan 24, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME138012 | FL | Primary |
| Family Medicine Physician | 207Q00000X | G21006 | CA |
Addresses
Primary practice location
4063 Salisbury Rd # 110
Jacksonville, FL 32216-8030
Mailing address
1302 River St
Palatka, FL 32177-5042
Phone (386) 328-0108
Other practice location 1
1302 River St
Palatka, FL 32177-5042
Phone (386) 328-8371
Other practice location 2
201 W. Lattin Street
Hastings, FL 32145-4111
Phone (904) 692-1508
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G21006 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc. | Current | Accepting new patients | |
| Rural Health Care Incorporated | Current | Accepting new patients | |
| Raymond J Mikelionis MD LLC | Family Medicine | Current | Accepting new patients |
| Rural Health Care Inc | Current | Accepting new patients |
Locations
4063 Salisbury Rd
#110
Jacksonville, FL 32216
Phone (904) 440-6049
4063 Salisbury Rd
Ste 110
Jacksonville, FL 32216
Phone (904) 717-9625
100 Commercial Dr
Keystone Hgts, FL 32656
Phone (352) 473-6595
1302 River St
Palatka, FL 32177
Phone (386) 328-0108
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Jacksonville, FL
- NPI 1154275907
-
- Federally Qualified Health Center (FQHC)
- Palatka, FL
- NPI 1871569061
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1811429806
-
- Federally Qualified Health Center (FQHC)
- Daytona Beach, FL
- NPI 1891227179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1639356389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 RIVER ST",
"city": "PALATKA",
"state": "FL",
"postal_code": "321775042",
"telephone_number": "386-328-0108",
"fax_number": "386-325-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4063 SALISBURY RD # 110",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322168030",
"telephone_number": "904-440-6049",
"fax_number": "904-341-5624"
}
],
"practiceLocations": [
{
"address_1": "1302 River St",
"address_purpose": "LOCATION",
"city": "Palatka",
"state": "FL",
"postal_code": "321775042",
"country_code": "US",
"telephone_number": "386-328-8371",
"fax_number": "386-325-1086",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 W. Lattin Street",
"address_purpose": "LOCATION",
"city": "Hastings",
"state": "FL",
"postal_code": "321454111",
"country_code": "US",
"telephone_number": "904-692-1508",
"fax_number": "904-692-1509",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKELIONIS",
"first_name": "RAYMOND",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME138012",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G21006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.