Individual provider Active NPI

John D. Colon, M.D.

  • General Practice Physician
  • Gainesville, FL
National Provider Identifier
1477665339
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN 142 Issued in FL
Practice address
224 SE 24TH St
Gainesville, FL 32641-7516
Phone
(352) 334-7900
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN 142 FL Primary

Addresses

Primary practice location

224 SE 24TH St
Gainesville, FL 32641-7516

Mailing address

224 SE 24TH St
Gainesville, FL 32641-7516
Phone (352) 334-7900

Other identifiers 2

IdentifierTypeStateIssuer
57726OtherBCBS
770025300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101026000027 FL Practitioner - General Practice 6507059300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University Central del Caribe Escuela de Medicina, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Department of HealthGroup PAC ID 3072424282, shared by 68 NPIs, 126 clinicians

Practice addresses (Care Compare)

224 SE 24TH St
Gainesville, FL 32641-7516
Phone (352) 334-7900

2801 Kennedy St
Palatka, FL 32177-4150
Phone (386) 326-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ACN 142FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Aug 26, 2021 Accepting new patients
Florida Department of Health CurrentSince Sep 3, 2002 Accepting new patients
Florida Department of Health CurrentSince Sep 3, 2002 Accepting new patients
Florida Department of Health Past Accepting new patients
Florida Clinical Practice Association Inc Past Accepting new patients

Locations

15530 NW US Highway 441
Ste 10010
Alachua, FL 32615
Phone (352) 462-2542

224 SE 24th St
Gainesville, FL 32641
Phone (352) 334-7900

816 SW 64th Ter
Gainesville, FL 32607
Phone (352) 225-4320

2801 Kennedy St
Palatka, FL 32177
Phone (386) 326-3200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1477665339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 SE 24TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326417516",
            "telephone_number": "352-334-7900",
            "fax_number": "352-334-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 SE 24TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326417516",
            "telephone_number": "352-334-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOHN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN 142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57726",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770025300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.