Active NPI
Mary Jo McDonell, MD
- Pediatrics Physician
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2016-00089
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1167817 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178523 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children'S and Multispecialty Clinic, PA | Pediatrics | Current | Accepting new patients |
| Amm Healthcare, PA | Pediatrics | Current | 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 | Past | 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
- 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.
-
- Family Medicine Physician
- Jacksonville, NC
- NPI 1164519070
Pediatrics
-
- Clinic/Center
- Jacksonville, NC
- NPI 1316033590
-
- Adolescent and Children Mental Health Clinic/Center
- Jacksonville, NC
- NPI 1770771750
-
- Pediatrics Physician
- Hope Mills, NC
- NPI 1679529051
-
- Pediatrics Physician
- Burlington, NC
- NPI 1679824676
-
- Pediatrics Physician
- Niagara Falls, NY
- NPI 1891791976
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
- Melissa McClain Hanold, MS, LCMHCA, NCC
- Julie McClure, PA-C
- Robert Bartholomew McCormick, MSW, LCSW
- Michelle Jem McDaniel
- Whitney A McDonald, BSW, MSW, LCSW-A
- Lauren Katherine McDonough, PA-C
- Annette Marie McDow, SOLE PROPRIETOR
- Mary Lynne McElhaney, DDS
- Kanesha Lavette McFarlin
- James Lance McGhee, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.