Individual provider Active NPI

John J O'Connell III, DO

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1720028186
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8509 Issued in FL
Practice address
2614 Jenks Ave
Panama City, FL 32405-4311
Phone
(850) 215-3000
Fax
(850) 215-3150
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8509 FL Primary

Addresses

Primary practice location

2614 Jenks Ave
Panama City, FL 32405-4311

Mailing address

PO Box 735911
Dallas, TX 75373-5911
Phone (972) 675-7266

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
I20041008001185 FL Practitioner - Family Practice 7113986696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1996
Medicare assignment
May accept Medicare assignment
Group practices
FL Neuro Pain and Spine Center PAGroup PAC ID 1850553553, 3 clinicians

Practice addresses (Care Compare)

2614 Jenks Ave
Panama City, FL 32405-4311
Phone (850) 215-3000

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Panama City, FL, CCN 107275
  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS8509FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FL Neuro Pain and Spine Center, .P.a. Family Medicine CurrentSince Feb 13, 2018 Accepting new patients
Northwest Florida Wound Care and Hyperbaric Center LLC Undersea and Hyperbaric Medicine CurrentSince Jun 25, 2021 Accepting new patients
FL Neuro Pain and Spine Center, .P.a. Current Accepting new patients
Primecare of NW FL Family Medicine Past Accepting new patients

Locations

2614 Jenks Ave
Panama City, FL 32405
Phone (850) 215-3000

1008 Jenks Ave
Panama City, FL 32401
Phone (850) 215-3000

11501 Hutchison Blvd
Ste 109
Panama City Beach, FL 32407
Phone (850) 248-1600

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1720028186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735911",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753735911",
            "telephone_number": "972-675-7266",
            "fax_number": "972-607-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054311",
            "telephone_number": "850-215-3000",
            "fax_number": "850-215-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.