Active NPI
John Francis O Connell, MD
- Internal Medicine Physician
- Collierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD10289
- 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Nashville, TN
- NPI 1659963445
TN
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Knoxville, TN
- NPI 1366601775
TN
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Knoxville, TN
- NPI 1871954867
TN
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Memphis, TN
- NPI 1588256374
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.
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 16265 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vcphcs I, LLC | Current | Accepting new patients | |
| Vcphcs VIII, LLC | Current | Accepting new patients | |
| Vcphcs Xvii, LLC | Current | Accepting new patients | |
| BHG Xxvii, LLC | Current | Accepting new patients | |
| DRD Management, Inc | Current | Accepting new patients | |
| Vcphcs IX, LLC | Current | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Current | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Current | Accepting new patients | |
| BHG Xxxi, LLC | Current | Accepting new patients | |
| DRD Management, Inc | Current | Accepting new patients | |
| Vcphcs Xix, LLC | Current | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Current | Accepting new patients | |
| Vcphcs Xxi, LLC | Current | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Past | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Past | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Past | Accepting new patients | |
| Wellness Ambulatory Care Inc. | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD10289 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 16265 | MS |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3183346 | Medicaid | TN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.