Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan D Screnock, MD

Individual provider Family Medicine Physician · NPI 1285677294

Jonathan D Screnock, MD is a Family Practice in Palm Coast, Florida. Qualified in 1997, 29 years ago. Practices with Adventhealth Primary Care Network Inc, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and Wisconsin.

Years since qualifying
29
Licensed in
FL, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

120 Cypress Edge Dr Ste 204
Palm Coast, FL 32164-8454
Phone: (386) 586-4428
Fax: (386) 586-4432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME120275 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 40243 (WI)

Record details

NPI number1285677294
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address120 Cypress Edge Dr Ste 204, Palm Coast, FL 32164-8454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Adventhealth Primary Care Network Inc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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