Individual provider Active NPI

John Manning Lydon, M.D.

  • Obstetrics & Gynecology Physician
  • Fleming Island, FL
National Provider Identifier
1851685713
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME145018 Issued in FL
Practice address
1680 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4821
Phone
(904) 264-9555
Fax
(904) 215-7960
NPI assigned
Jun 7, 2011
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME145018 FL Primary
Obstetrics & Gynecology Physician 207V00000X 01072898A IN

Addresses

Primary practice location

1680 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4821

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

2080 Child Street
Jacksonville, FL 32214
Phone (904) 542-7419

Other practice location 2

8901 Wisconsin Ave
National Naval Medical Center, Dept ObGyn
Bethesda, MD 20889-5600
Phone (301) 295-2045

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
I20210331000100 FL Practitioner - Obstetrics/Gynecology 2668889098 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

1680 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4821
Phone (904) 264-9555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01072898AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care Florida LLC Obstetrics & Gynecology CurrentSince May 10, 2022 Accepting new patients
Womens' Health Hospitalists, LLC Obstetrics & Gynecology CurrentSince May 10, 2022 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 3, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 3, 2021 Accepting new patients

Locations

4201 Belfort Rd
Jacksonville, FL 32216
Phone (904) 268-5561

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3100 SW 62nd Ave
Miami, FL 33155
Phone (305) 669-5873

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1075 Oakleaf Plantation Pkwy
Ste 108
Orange Park, FL 32065
Phone (904) 264-9555

1075 Oakleaf Plantation Pkwy
Ste 109
Orange Park, FL 32065
Phone (904) 264-9555

1680 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 264-9555

1680 Eagle Harbor Pkwy
Ste C
Orange Park, FL 32003
Phone (904) 541-3055

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

5002 W Lemon St
Tampa, FL 33609

13001 State Road 80
Westlake, FL 33470
Phone (561) 784-3127

Interoperability endpoints

  • Direct secure messaging: john.lydon@wcfnf.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1851685713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 EAGLE HARBOR PKWY STE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034821",
            "telephone_number": "904-264-9555",
            "fax_number": "904-215-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Child Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32214",
            "country_code": "US",
            "telephone_number": "904-542-7419",
            "fax_number": "904-542-7839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Wisconsin Ave",
            "address_2": "National Naval Medical Center, Dept ObGyn",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208895600",
            "country_code": "US",
            "telephone_number": "301-295-2045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYDON",
        "first_name": "JOHN",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME145018",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01072898A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.