Active NPI
Howard A. McMahan, M.D.
- Orthopaedic Surgery of the Spine Physician
- Atlanta, GA
National Provider Identifier
1013904390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 024027
- Practice address
- 550 Peachtree St NE FL 19
Atlanta, GA 30308-2247 - Phone
- (404) 215-2000
- Fax
- (404) 215-2001
- NPI assigned
- Oct 3, 2005
- Reactivated
- Jan 15, 2020
- Last updated
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 024027 | GA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 024027 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE FL 19
Atlanta, GA 30308-2247
Mailing address
550 Peachtree St NE
19TH Floor
Atlanta, GA 30308-2247
Phone (404) 215-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000250511D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024027 | GA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1013904390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "19TH FLOOR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-215-2000",
"fax_number": "404-215-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE FL 19",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-215-2000",
"fax_number": "404-215-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "HOWARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"deactivation_date": "2018-05-21",
"reactivation_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "024027",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "GA",
"license": "024027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000250511D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.