Active NPI
Stephen Michael McConnell, M.D.
- Ophthalmology Physician
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 77686
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 194 |
| Melanoma (skin cancer) excision | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77686 | GA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Ophthalmology, Inc | Ophthalmology | Current | Accepting new patients |
| J Gregory Jones MD PC | Ophthalmology | Current | Accepting new patients |
| McConnell Eye Associates LLC | Ophthalmology | Current | 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.
-
- Ophthalmology Physician
- Brunswick, GA
- NPI 1760015002
-
- Ophthalmology Physician
- Macon, GA
- NPI 1841321411
-
- Ophthalmology Physician
- Brunswick, GA
- NPI 1427113554
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Southeast Georgia Health System - Brunswick Campus
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.