Active NPI
John M. McDonald Jr., MD
- Emergency Medicine Physician
- Headland, AL
National Provider Identifier
1558301481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00025924
- Practice address
- 17925 US Hwy 431 South
Headland, AL 36345 - Phone
- (334) 944-2490
- NPI assigned
- Jun 8, 2006
- Last updated
- Apr 30, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 00025924 | AL | Primary |
| Family Medicine Physician | 207Q00000X | MD.25924 | AL |
Addresses
Primary practice location
17925 US Hwy 431 South
Headland, AL 36345
Mailing address
PO Box 312
Headland, AL 36345-0312
Phone (344) 232-2733
Other practice location 1
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000 ext. 1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051522201 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- Emergency Medicine
- Education
- University of South Alabama College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 194 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00025924 | AL | MD | Emergency Medicine Physician |
| MD.25924 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Headland Urgent Care, LLC | Family Medicine | Current | Accepting new patients |
| Keystone Medical Services of Alabama, Inc. | Emergency Medicine | Current | Accepting new patients |
| Flowers HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Tidewater | Emergency Medicine | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1330 Highway 231 S
Troy, AL 36081
Phone (334) 370-5000
Interoperability endpoints
- jmcdonald12474@southeasthealth.direct-ci.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
-
- Emergency Medicine Physician
- Troy, AL
- NPI 1790432243
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Dothan, AL
- NPI 1871503532
-
dba Southeast Alabama Medical Center
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1558301481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "HEADLAND",
"state": "AL",
"postal_code": "363450312",
"telephone_number": "344-232-2733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17925 US HWY 431 SOUTH",
"city": "HEADLAND",
"state": "AL",
"postal_code": "36345",
"telephone_number": "334-944-2490"
}
],
"practiceLocations": [
{
"address_1": "4370 W Main St",
"address_purpose": "LOCATION",
"city": "Dothan",
"state": "AL",
"postal_code": "363051056",
"country_code": "US",
"telephone_number": "334-793-5000 x1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JOHN",
"middle_name": "M.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "00025924",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "MD.25924",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051522201",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Headland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.