MEDICARE: JOHN M. MCDONALD JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD.25924	AL
2	207P00000X	Emergency Medicine Physician	00025924	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558301481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M. MCDONALD JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 312
Second Line	:
City	:	HEADLAND
State	:	AL
Zip	:	36345-0312
Country	:	US
Telephone Number	:	344-232-2733
Fax Number	:

Provider Business Practice Location Address
First Line	:	17925 US HWY 431 SOUTH
Second Line	:
City	:	HEADLAND
State	:	AL
Zip	:	36345
Country	:	US
Telephone Number	:	334-944-2490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	04/30/2025

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