Active NPI
John Manning Lydon, M.D.
- Obstetrics & Gynecology Physician
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME145018
- 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, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01072898A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Care Florida LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Womens' Health Hospitalists, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| OB Hospitalist Group LLC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1013902923
-
- Obstetrics & Gynecology Physician
- Boca Raton, FL
- NPI 1710647334
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1205295599
-
- Obstetrics & Gynecology Physician
- Melbourne, FL
- NPI 1245472661
-
- Obstetrics & Gynecology Physician
- Winter Haven, FL
- NPI 1851282016
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.