Active NPI
Johnathon Robert McCormick, MD
- Orthopaedic Surgery Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME179869
- Practice address
- 8000 Sr 64 E
Bradenton, FL 34212-7703 - Phone
- (941) 792-1404
- Fax
- (941) 761-0712
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME179869 | FL | Primary |
Addresses
Primary practice location
8000 Sr 64 E
Bradenton, FL 34212-7703
Mailing address
8000 Sr 64 E
Bradenton, FL 34212-7703
Phone (941) 792-1404
Other practice location 1
6202 17th Ave W
Bradenton, FL 34209-7838
Phone (941) 792-1404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN5C | Other | FL | FL BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328
1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 339-1000
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
- Novant Health Presbyterian Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025-01219 | NC | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loyola University Medical Center | Current | Accepting new patients | |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Orthocarolina | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1915 Randolph Rd
Fl 1
Charlotte, NC 28207
Phone (704) 323-3000
4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090
1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255
Interoperability endpoints
- jmccormick165983@direct.luhs.org
- jmccormick3019688@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1497704217
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Orthopaedic Surgery
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- Orthopaedic Surgery Physician
- Indian Land, SC
- NPI 1619641453
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1336775246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342127703",
"telephone_number": "941-792-1404",
"fax_number": "941-761-0712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 SR 64 E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342127703",
"telephone_number": "941-792-1404",
"fax_number": "941-761-0712"
}
],
"practiceLocations": [
{
"address_1": "6202 17th Ave W",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342097838",
"country_code": "US",
"telephone_number": "941-792-1404",
"fax_number": "941-761-0712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "JOHNATHON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME179869",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BCBS",
"identifier": "TN5C",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.