Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Cornelius O'Donnell

Individual provider Internal Medicine Physician · NPI 1679922751

John Cornelius O'Donnell is a Pulmonary Disease in Greenville, North Carolina. Qualified in 2016, 10 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
10
Licensed in
NC, NJ
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

521 Moye Blvd
Greenville, NC 27834-2849
Phone: (252) 744-1600
Fax: (252) 744-1115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 2022-01225 (NC)
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MB10517100 (NJ)

Record details

NPI number1679922751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2016
Last updated in NPPESFebruary 23, 2024
Certification dateFebruary 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Greenville