John Mansour, DO
John Mansour, DO is an Orthopaedic Trauma Physician in Fleming Island, FL, registered under NPI 1922308691. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 4689 US HIGHWAY 17 STE 12, Fleming Island, FL 32003. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OS14658 | FL | Orthopaedic Trauma Physician primary |
| 020005101A | IN | Orthopaedic Trauma Physician |
Licences are recorded in 2 states: FL, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Orthopedic Surgery
- PAC ID
- 5799090890
- Enrollment ID
- I20171122001584
Medicare enrolment is recorded as approved under the provider type Practitioner - Orthopedic Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Florida and Indiana. The practice address on file is in Fleming Island, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- OS14658
- Specialty
- Orthopaedic Trauma Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthopaedic Trauma covers
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. NUCC Health Care Provider Taxonomy, code 207XX0801X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207XX0801X | Orthopaedic Trauma Physician Orthopaedic Trauma | OS14658 | FL | primary |
| 207XX0801X | Orthopaedic Trauma Physician Orthopaedic Trauma | 020005101A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1922308691 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 28, 2010 |
| Last updated | Jun 4, 2026 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | DO |
| Practice address |
4689 US HIGHWAY 17 STE 12 Fleming Island, FL 32003 (904) 375-9753 Fax (904) 375-8380 |
| Mailing address |
PO BOX 370 Fortson, GA 31808 |
| Other identifiers |
4654
· Other (AL) OS14658 · Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 2 | 2 | 3 | 0 | 8 | 6 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 4 | 2 | 6 | 0 | 7 | 6 | 9 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.