Elizabeth McMahan, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R559237 Issued in MS

Practice address

927 Kemper Street
Scooba, MS 39358

Phone

(662) 476-9595

Fax

(601) 553-8175

NPI assigned

Nov 1, 2006

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJDBBA

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.

• Greater Meridian Health Clinic, Inc.

  dba Scooba Family Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Scooba, MS
  • NPI 1962509208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1023196821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DAVIS STREET",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015708",
            "telephone_number": "601-693-0118",
            "fax_number": "601-553-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 KEMPER STREET",
            "city": "SCOOBA",
            "state": "MS",
            "postal_code": "39358",
            "telephone_number": "662-476-9595",
            "fax_number": "601-553-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R559237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Bontrager, ATC
• East Mississippi Community College (EMCC Sports Medicine)
• Greater Meridian Health Clinic, Inc. (Scooba Family Medical Clinic)
• Suzanne Hagar, RN
• Qyhdijha Ivy
• Ryota Nakagi
• Madilyn Hope Peters, LAT, ATC
• Dorothy Richardson
• Shannon Wilkins, DPT

• Nurse Practitioner in Scooba, MS
• Providers in Scooba, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.