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MR. JOHN THOMAS CONNELLY III PA-C
NPI 1164866646
Physician Assistant - Surgical in Columbia, SC

Active since April 26, 2013PECOS EnrolledAccepts Medicare Assignment
145 PARK CENTRAL DR STE 100, COLUMBIA, SC 29203(803) 736-3277(803) 408-8698 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2024, Aug 30, 2022, Mar 17, 2021 (3 updates tracked since 2021).

About Mr. John Thomas Connelly Iii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN THOMAS CONNELLY III PA-C (NPI 1164866646) is an individual surgical provider in Columbia, South Carolina, licensed in South Carolina (4532) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164866646
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JOHN THOMAS CONNELLY IIICredential: PA-C
Location Address145 PARK CENTRAL DR STE 100Columbia, SC 29203-6469
Mailing Address500 Northridge Rd Ste 400Atlanta, GA 30350-3314 · (803) 736-3277
Phone(803) 736-3277
Fax(803) 408-8698
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 26, 2013
Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1164866646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in SC · 4532
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9106938 (FL)
145 PARK CENTRAL DR STE 100, Columbia, SC 29203
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Secondary Practice Locations 2

Location 11150 N. 35th Avenue, Suite 490Hollywood, FL 33021 · Phone (954) 265-1616 · Fax (954) 893-6325
Location 2146 E Hospital Dr Ste 200West Columbia, SC 29169-4800 · Phone (803) 936-7530 · Fax (803) 936-7532

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. John Thomas Connelly Iii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193092708
PECOS Enrollment IDI20220912000270
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
213 services185 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
118 services106 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
78 services78 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
22 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services21 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
20 services20 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIA CORREAL
Physician Assistant
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 29203
Richland County (803) 736-3277
DR. IRA DAVID URETZKY MD
Otolaryngology
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 29203
Richland County (803) 408-3277
MS. BRENNAN ADARE REGAN PA-C
Physician Assistant
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 29203
Richland County (803) 736-3277
KATHRYN YOVANOVICH PA-C
Physician Assistant
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 29203
Richland County (803) 736-3277
ADAM C ABRAM MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
145 PARK CENTRAL DR STE 100
COLUMBIA, SC 29203
Richland County (803) 736-3277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Connelly's NPI number?

The NPI number for John Connelly is 1164866646. It was assigned to this individual provider in the NPPES registry on April 26, 2013.

Where is John Connelly located?

John Connelly practices at 145 Park Central Dr Ste 100, Columbia, SC 29203. The listed phone number is (803) 736-3277.

What is John Connelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is John Connelly enrolled in Medicare?

Yes. John Connelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Connelly accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list John Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Connelly was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.