Active NPI
Connor Burnside, DO
- Psychiatry Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS18828
- 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
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 |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Practice addresses (Care Compare)
601 E Rollins St
Orlando, FL 32803-1248
Phone (850) 687-5990
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa Vamc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Hakuna Matata Psychiatry Services PLLC | Psychiatry | Current | 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
- 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.
-
- Psychiatry Physician
- Inlet Beach, FL
- NPI 1699331132
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Department of Veterans Affairs (VA) Pharmacy
- Lakeland, FL
- NPI 1922846716
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.