Individual provider Active NPI

John Patrick Mawn, M.D

  • Diagnostic Radiology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1528333887
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
452439 Issued in PA
Practice address
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone
(814) 335-4131
NPI assigned
Mar 19, 2012
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 452439 PA Primary

Addresses

Primary practice location

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708

Mailing address

200 Lothrop St
Upmc Montefiore, Suite N713
Pittsburgh, PA 15213-2536
Phone (412) 692-4700

Other practice location 1

1700 Old Gatesburg Rd Ste 100
State College, PA 16803-2276
Phone (814) 278-3280

Other practice location 2

1800 E Park Ave
State College, PA 16803-6701
Phone (814) 231-7000 ext. 6764

Other practice location 3

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200618001795 PA Practitioner - Diagnostic Radiology 1052733169 Reassigns benefits to 4 organizations
I20240327002725 FL Practitioner - Diagnostic Radiology 1052733169 Reassigns benefits to 4 organizations
I20250305002603 MS Practitioner - Diagnostic Radiology 1052733169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
West Florida Radiology Associates PAGroup PAC ID 0941224612, 33 clinicians
Mississippi Hma Hospitalists LLCGroup PAC ID 5991972077, 55 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-3261

1450 Berryhill Rd
Milton, FL 32570-4028
Phone (850) 626-7762

303 Tequesta Dr
Destin, FL 32541-5715
Phone (601) 376-8206

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
452439PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Dubois Regional Medical Center Diagnostic Radiology CurrentSince Jul 6, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 9, 2025 Accepting new patients
Mississippi Hma Hospitalists, LLC Diagnostic Radiology CurrentSince Feb 20, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jun 9, 2025 Accepting new patients
Mississippi Hma Hospitalists, LLC CurrentSince Feb 20, 2025 Accepting new patients
University of Pittsburgh Physicians Diagnostic Radiology CurrentSince Sep 1, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 6, 2020 Accepting new patients
West Florida Radiology Associates PA Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
Frank Olney & Rudy Nicolas PTRS Diagnostic Radiology CurrentSince Jun 4, 2025 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology Current Accepting new patients
Mount Nittany Medical Center Health Services Inc CurrentSince Nov 1, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Medical Evaluators Inc CurrentSince Feb 1, 2025 Accepting new patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology Past Accepting new patients

Locations

160 Twin Springs Way
Defuniak Springs, FL 32435
Phone (850) 389-6955

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1248 S Harbor City Blvd
Melbourne, FL 32901
Phone (435) 623-3165

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500

163 River Oaks Dr
Ste 201
Canton, MS 39046
Phone (601) 496-1000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

2950 Fairway Dr
Altoona, PA 16602
Phone (814) 946-8000

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Lothrop St
Ste N713
Pittsburgh, PA 15213
Phone (412) 692-4700

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

1700 Old Gatesburg Rd
Ste 100
State College, PA 16803
Phone (814) 237-3360

Interoperability endpoints

  • Direct secure messaging: jmawn219425@ummc.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 5

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1528333887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "UPMC MONTEFIORE, SUITE N713",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-692-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476708",
            "telephone_number": "814-335-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Old Gatesburg Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168032276",
            "country_code": "US",
            "telephone_number": "814-278-3280",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 E Park Ave",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168036701",
            "country_code": "US",
            "telephone_number": "814-231-7000 x6764",
            "fax_number": "814-231-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Ave",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011440",
            "country_code": "US",
            "telephone_number": "814-375-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAWN",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "452439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.