NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Jack M Matheny II

Family Medicine Physician in Palatka, FL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629040043

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Registry record

Entity type Individual (Type 1)
Name Jack M Matheny II
Sex Male
Practice address Palatka, FL, 32177
Phone (386) 328-6746
Fax (386) 328-7554
Enumeration date Feb 2, 2006
Last updated in NPPES Apr 2, 2019

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME0048571 (FL) Primary

Other identifiers

Identifier Type State Issuer
046979300 Medicaid FL -
372143400 Other FL MEDICAID GROUP NUMBER FOR NON RURAL HEALTH SERVICES
372143401 Other FL MEDICAID GROUP NUMBER FOR RURAL HEALTH CLINIC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1629040043 active?
Yes, as of the latest NPPES snapshot, NPI 1629040043 is active (record last updated 2019-04-02).
How do I verify Jack Matheny's NPI record?
Cross-check NPI 1629040043 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-02.