Individual provider Active NPI

Makarios Samir, DC

  • Chiropractor
  • Palatka, FL
National Provider Identifier
1770402489
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH16031 Issued in FL
Practice address
905 Saint Johns Ave
Palatka, FL 32177-4649
Phone
(386) 328-2710
NPI assigned
Jul 15, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH16031 FL Primary

Addresses

Primary practice location

905 Saint Johns Ave
Palatka, FL 32177-4649

Mailing address

906 Noble Run
New Smyrna Beach, FL 32168-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH16031FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
St Augustine Physicians Associates Inc Chiropractor CurrentSince Jul 21, 2026 Accepting new patients

Locations

905 Saint Johns Ave
Palatka, FL 32177
Phone (386) 328-2710

419 Anastasia Blvd
#A
St Augustine, FL 32080
Phone (904) 824-5705

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1770402489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 NOBLE RUN",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321682494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAINT JOHNS AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321774649",
            "telephone_number": "386-328-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMIR",
        "first_name": "MAKARIOS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH16031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.