Samuel W. Mietling, M.D.

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

051686 Issued in GA

Practice address

2416 Dunn Avenue
Jacksonville, FL 32218-1015

Phone

(904) 353-3664

Fax

(904) 353-3858

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 10

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in GA, FL, SC3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Interventional Radiology

Education

University of North Carolina at Chapel Hill School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Access Care of Jacksonville LLCGroup PAC ID 3072787340, 3 clinicians

American Access Care of Atlanta LLCGroup PAC ID 3072687375, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65.11 of 100Reported as group

Quality

72.93

Promoting interoperability

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

66.63 of 100Reported as group

Quality

75.69

Promoting interoperability

0

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

67.97 of 100Reported as group

Quality

78.13

Promoting interoperability

0

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: samuel.mietling.p29@direct.aac.nextgenshare.com
• Direct secure messaging: samuel.mietling.p103@direct.aac.nextgenshare.com
• Direct secure messaging: samuel.mietling.p79@direct.aac.nextgenshare.com

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.

• American Access Care of Jacksonville LLC

  • Vascular & Interventional Radiology Physician
  • Jacksonville, FL
  • NPI 1669771168
  Medicare reassignment Care Compare group NPD
• American Access Care of Atlanta LLC

  • Nephrology Physician
  • Decatur, GA
  • NPI 1831356617

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Snapfinger Vascular Access Center LLC

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
  • NPI 1477883338
  Medicare reassignment NPD
• Au Medical Associates Inc

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD
• Pensacola Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Pensacola, FL
  • NPI 1548291628
  NPD (past)
• Pet LLC

  • Nuclear Radiology Physician
  • Pensacola, FL
  • NPI 1235148578
  NPD (past)
• Kevin L. Sullivan MD, PC

  • Vascular & Interventional Radiology Physician
  • Decatur, GA
  • NPI 1750551834
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1750347589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309143129",
            "telephone_number": "706-737-4575",
            "fax_number": "706-731-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 DUNN AVENUE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181015",
            "telephone_number": "904-353-3664",
            "fax_number": "904-353-3858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Ponce De Leon Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303406",
            "country_code": "US",
            "telephone_number": "404-377-9171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5246 Snapfinger Park Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300354044",
            "country_code": "US",
            "telephone_number": "678-533-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIETLING",
        "first_name": "SAMUEL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "051686",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME49311",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085D0003X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Neuroimaging",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "051686",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME49311",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "051686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00952795C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00952795A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00952795B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - VASCULAR RADIOLOGY",
            "identifier": "1346357217",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LICENSE",
            "identifier": "83555",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G51686",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel T. Miel Jr., MD
• Mielke Group, Inc.
• Catherine Mielke, APRN, CNS
• Jeannine Boyle Mielke, PHD
• Louis Edward Miers, PA
• Christina L. Migliara, LMFT, MAC, CAP
• Joseph Mignone, MD
• Dennis P Mihale, MD
• Mark Mihaly, AP
• Jennifer Miiller, PA

• Vascular & Interventional Radiology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.