Individual provider Active NPI

John Francis O Connell, MD

  • Internal Medicine Physician
  • Collierville, TN
National Provider Identifier
1851479059
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10289 Issued in TN
Practice address
131 Garner Grove Cove
Collierville, TN 38017-9763
Phone
(901) 491-9447
Fax
(901) 854-3530
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Ambulatory Care Inc. 5 clinicians

Practice addresses (Care Compare)

2165 Spicer CV
Memphis, TN 38134-5623
Phone (901) 372-7878

412 Citico St
Knoxville, TN 37921-5811
Phone (865) 522-0661

640 US Hwy 51 Bypass E
Suite L and M Clia Room 146
Dyersburg, TN 38024-2067
Phone (731) 285-6535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20210812002823 TN Practitioner - Internal Medicine 1759717291 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16265MSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vcphcs I, LLC CurrentSince Jan 1, 2020 Accepting new patients
Vcphcs VIII, LLC CurrentSince Oct 27, 2020 Accepting new patients
Vcphcs Xvii, LLC CurrentSince May 7, 2021 Accepting new patients
BHG Xxvii, LLC CurrentSince May 7, 2021 Accepting new patients
DRD Management, Inc Current Accepting new patients
Vcphcs IX, LLC CurrentSince May 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince May 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. CurrentSince May 7, 2021 Accepting new patients
BHG Xxxi, LLC CurrentSince Nov 21, 2011 Accepting new patients
DRD Management, Inc CurrentSince May 7, 2021 Accepting new patients
Vcphcs Xix, LLC CurrentSince May 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. Current Accepting new patients
Vcphcs Xxi, LLC CurrentSince Dec 6, 2020 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients
Wellness Ambulatory Care Inc. PastSince Feb 7, 2021 Accepting new patients

Locations

1202 S James M Campbell Blvd
Ste 7A
Columbia, TN 38401
Phone (931) 381-0020

640 US Highway 51 Byp E
Ste M
Dyersburg, TN 38024
Phone (731) 285-6535

58 Carriage House Dr
Ste B
Jackson, TN 38305
Phone (731) 660-0880

58 Carriage House Dr
#A
Jackson, TN 38305
Phone (731) 660-0880

412 Citico St
Knoxville, TN 37921
Phone (865) 522-0661

1910 Ailor Ave
Knoxville, TN 37921
Phone (844) 535-7291

2165 Spicer Cv
Ste 5
Memphis, TN 38134
Phone (901) 372-7878

4539 Winchester Rd
Ste 111
Memphis, TN 38118
Phone (901) 372-7878

1734 Madison Ave
Memphis, TN 38104
Phone (901) 722-9420

2410 Charlotte Ave
Nashville, TN 37203
Phone (615) 321-2575

342 22nd Ave N
Nashville, TN 37203
Phone (615) 327-2001

85 Harrison St
Savannah, TN 38372
Phone (731) 925-2767

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10289 TN Primary
Internal Medicine Physician 207R00000X 16265 MS

Addresses

NPPES NPI Registry

Primary practice location

131 Garner Grove Cove
Collierville, TN 38017-9763

Mailing address

131 Garner Grove Cove
Collierville, TN 38017-9763
Phone (901) 854-4416

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
3183346MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851479059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 GARNER GROVE COVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179763",
            "telephone_number": "901-854-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 GARNER GROVE COVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380179763",
            "telephone_number": "901-491-9447",
            "fax_number": "901-854-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O CONNELL",
        "first_name": "JOHN",
        "middle_name": "FRANCIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD10289",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16265",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183346",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.