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

Mr. John Thomas Connelly III, PA-C

Individual provider Physician Assistant · NPI 1164866646

Mr. John Thomas Connelly III, PA-C is a Physician Assistant in Columbia, South Carolina. Qualified in 2012, 14 years ago. Practices with South Carolina ENT Allergy and Sleep Medicine PA, a 23-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
14
Licensed in
FL, SC
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

145 Park Central Dr Ste 100
Columbia, SC 29203-6469
Phone: (803) 736-3277
Fax: (803) 408-8698
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1150 N. 35th Avenue, Hollywood, FL 33021 — (954) 265-1616
  • 146 E Hospital Dr Ste 200, West Columbia, SC 29169-4800 — (803) 936-7530

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4532 (SC)
Physician Assistant Taxonomy 363A00000X · Licence PA9106938 (FL)

Record details

NPI number1164866646
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2013
Last updated in NPPESSeptember 4, 2024
Certification dateSeptember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice South Carolina Ent Allergy And Sleep Medicine Pa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Columbia