Individual provider Active NPI

John J Cascone, MD

  • Surgery Physician
  • Palm Coast, FL
National Provider Identifier
1023097326
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME121098 Issued in FL
Practice address
61 Memorial Medical Pkwy
Suite 3805
Palm Coast, FL 32164-5981
Phone
(386) 586-1605
Fax
(386) 586-1607
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME121098 FL Primary

Addresses

Primary practice location

61 Memorial Medical Pkwy
Suite 3805
Palm Coast, FL 32164-5981

Mailing address

61 Memorial Medical Pkwy
Suite 3805
Palm Coast, FL 32164-5981
Phone (385) 586-1605

Other identifiers 6

IdentifierTypeStateIssuer
P00145921OtherGARAILROAD MEDICARE
716606035AOtherGAPEACH STATE HEALTH PLAN
716606035GMedicaidGA
379612OtherGAWELLCARE
716606035AMedicaidGA
015312700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001403 GA Practitioner - General SurgeryPractitioner - Thoracic SurgeryPractitioner - Vascular Surgery 5698749836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Thoracic Surgery, Vascular Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Emergency Medical Services Consolidated, LLCGroup PAC ID 4183871320, 48 clinicians
Southland Burke Emergency Medical Services, LLCGroup PAC ID 9537547401, 20 clinicians

Practice addresses (Care Compare)

351 S Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

Hospital & facility affiliations

  • Burke Medical Center Hospital, Waynesboro, GA, CCN 110113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME121098FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince May 12, 2025 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients
Southland Burke Emergency Medical Services, LLC CurrentSince Sep 16, 2024 Accepting new patients
Archbold Medical Group, Inc. Surgery Past Accepting new patients
Early Memorial Hospital Past Accepting new patients
Adventhealth Primary Care Network Inc Past Accepting new patients
South Georgia Surgical Associates, PC Past Accepting new patients
Burke Hospital Company Past Accepting new patients

Locations

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

351 S Liberty St
Waynesboro, GA 30830
Phone (706) 554-4435

Interoperability endpoints

  • Direct secure messaging: jcascone57624@adventhealth.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1023097326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 3805",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645981",
            "telephone_number": "385-586-1605",
            "fax_number": "386-586-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MEMORIAL MEDICAL PKWY",
            "address_2": "SUITE 3805",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321645981",
            "telephone_number": "386-586-1605",
            "fax_number": "386-586-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCONE",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME121098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00145921",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACH STATE HEALTH PLAN",
            "identifier": "716606035A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716606035G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "379612",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716606035A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015312700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.