Samuel Mietling, M.D.
Samuel Mietling, M.D. is a Vascular & Interventional Radiology Physician in Jacksonville, FL, registered under NPI 1750347589. This provider registers 8 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2416 DUNN AVENUE, Jacksonville, FL 32218. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 051686 | GA | Neuroradiology Physician |
| 051686 | GA | Diagnostic Radiology Physician |
| 051686 | GA | Diagnostic Ultrasound Physician |
| 051686 | GA | Vascular & Interventional Radiology… primary |
| ME49311 | FL | Vascular & Interventional Radiology… |
| 051686 | GA | Nuclear Radiology Physician |
| 051686 | GA | Diagnostic Neuroimaging (Radiology)… |
| 051686 | GA | Body Imaging Physician |
| ME49311 | FL | Diagnostic Radiology Physician |
| 051686 | GA | Pediatric Radiology Physician |
Licences are recorded in 2 states: GA, FL. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 0648358663
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Georgia | I20080416000333 | Practitioner - Diagnostic Radiology |
| Florida | I20211021001452 | Practitioner - Interventional Radiology |
| South Carolina | I20240328000371 | Practitioner - Interventional Radiology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. There are 3 separate enrolment records across 3 states (GA, FL, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Florida and Georgia. The practice address on file is in Jacksonville, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- ME49311
- Specialty
- Vascular & Interventional Radiology…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Vascular & Interventional Radiology covers
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. NUCC Health Care Provider Taxonomy, code 2085R0204X
All registered taxonomy codes
This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085N0700X | Neuroradiology Physician Neuroradiology | 051686 | GA | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 051686 | GA | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | 051686 | GA | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 051686 | GA | primary |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | ME49311 | FL | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | 051686 | GA | |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician Diagnostic Neuroimaging | 051686 | GA | |
| 2085B0100X | Body Imaging Physician Body Imaging | 051686 | GA | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | ME49311 | FL | |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | 051686 | GA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1750347589 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 21, 2006 |
| Last updated | Nov 18, 2025 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | M.D. |
| Practice address |
2416 DUNN AVENUE Jacksonville, FL 32218 (904) 353-3664 Fax (904) 353-3858 |
| Mailing address |
PO BOX 3129 Augusta, GA 30914 |
| Other identifiers |
00952795A
· Medicaid (GA) 00952795B · Medicaid (GA) 00952795C · Medicaid (GA) 1346357217 · Other 83555 · Other (SC) G51686 · Medicaid (SC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 5 | 0 | 3 | 4 | 7 | 5 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 1 | 0 | 6 | 4 | 5 | 5 | 7 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.