Individual provider Active NPI

Mary Jo McDonell, MD

  • Pediatrics Physician
  • Burlington, NC
National Provider Identifier
1821095118
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-00089 Issued in NC
Practice address
2501 S Mebane St Dept 200
Burlington, NC 27215-6235
Phone
(336) 228-7337
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 178523 NY
Pediatrics Physician 208000000X 2016-00089 NC Primary

Addresses

Primary practice location

2501 S Mebane St Dept 200
Burlington, NC 27215-6235

Mailing address

2501 S Mebane St Dept 200
Burlington, NC 27215-6235
Phone (336) 228-7337

Other identifiers 1

IdentifierTypeStateIssuer
1167817MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220318000750 NC Practitioner - Pediatric Medicine 3779978218 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178523NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Amm Healthcare, PA Pediatrics CurrentSince Apr 1, 2022 Accepting new patients
Summit Pediatrics, P.C. Pediatrics Past Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients
Jacksonville Behavior and Mental Health PastSince Oct 6, 2019 Accepting new patients

Locations

124 Towerview Ct
Cary, NC 27513

812 W Haggard Ave
Elon College, NC 27244
Phone (336) 449-4030

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1821095118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 S MEBANE ST DEPT 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156235",
            "telephone_number": "336-228-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S MEBANE ST DEPT 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156235",
            "telephone_number": "336-228-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONELL",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "178523",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-00089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.