Individual provider Active NPI

Stephen Michael McConnell, M.D.

  • Ophthalmology Physician
  • Brunswick, GA
National Provider Identifier
1548598642
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
77686 Issued in GA
Practice address
2712 Parkwood Dr
Brunswick, GA 31520-4727
Phone
(912) 289-3990
Fax
(912) 254-4030
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35.138577 OH
Ophthalmology Physician 207W00000X 77686 GA Primary

Addresses

Primary practice location

2712 Parkwood Dr
Brunswick, GA 31520-4727

Mailing address

2712 Parkwood Dr
Brunswick, GA 31520-4727
Phone (912) 289-3990

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
I20170731000632 GA Practitioner - Ophthalmology 5395032486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Mercer University School of Medicine, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2712 Parkwood Dr
Brunswick, GA 31520-4727
Phone (912) 205-3467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery194
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77686GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seaside Ophthalmology, Inc Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
J Gregory Jones MD PC Ophthalmology CurrentSince Jul 1, 2019 Accepting new patients
McConnell Eye Associates LLC Ophthalmology CurrentSince Jun 24, 2020 Accepting new patients

Locations

2712 Parkwood Dr
Brunswick, GA 31520
Phone (912) 205-3467

3303 Glynn Ave
#A
Brunswick, GA 31520
Phone 9124669500 ext. 1013

3303 Glynn Ave
Brunswick, GA 31520
Phone (912) 354-4800

1891 Highway 40 E
Ste 1102
Kingsland, GA 31548
Phone (912) 576-4466

856 1st St
Macon, GA 31201
Phone (478) 741-1740

Organizations & group practices 3

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.

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": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1548598642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204727",
            "telephone_number": "912-289-3990",
            "fax_number": "912-466-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204727",
            "telephone_number": "912-289-3990",
            "fax_number": "912-254-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35.138577",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "77686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.