Individual provider Active NPI

Connor Burnside, DO

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1922595990
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS18828 Issued in FL
Practice address
265 E Rollins St Ste 5000
Orlando, FL 32804-5525
Phone
(407) 821-3586
Fax
(407) 821-3587
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X OS18828 FL
Psychiatry Physician 2084P0800X OS18828 FL Primary

Addresses

Primary practice location

265 E Rollins St Ste 5000
Orlando, FL 32804-5525

Mailing address

265 E Rollins St Ste 5000
Orlando, FL 32804-5525
Phone (407) 821-3586

Other practice location 1

2080 Meadowland Park Blvd
Lakeland, FL 33803-4326
Phone (863) 701-2470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241216001705 MI Practitioner - Psychiatry 2163776238 Reassigns benefits to 1 organization
I20250922001252 FL Practitioner - Psychiatry 2163776238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hakuna Matata Psychiatry Services PLLCGroup PAC ID 1153651377, 26 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (850) 687-5990

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Vamc CurrentSince Sep 15, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 10, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Dec 10, 2024 Accepting new patients
Hakuna Matata Psychiatry Services PLLC Psychiatry CurrentSince Jul 15, 2025 Accepting new patients
Florida Hospital Medical Group Inc Psychiatry Past Accepting new patients

Locations

2080 Meadowland Park Blvd
Lakeland, FL 33803
Phone (863) 701-2470

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

127 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 906-5092

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cburnside3813716@direct.trinity-health.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1922595990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 5000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045525",
            "telephone_number": "407-821-3586",
            "fax_number": "407-821-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 E ROLLINS ST STE 5000",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045525",
            "telephone_number": "407-821-3586",
            "fax_number": "407-821-3587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2080 Meadowland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338034326",
            "country_code": "US",
            "telephone_number": "863-701-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURNSIDE",
        "first_name": "CONNOR",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "OS18828",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS18828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.