Active NPI
John G McMahon Jr., DPM
- Podiatrist
- Midlothian, VA
National Provider Identifier
1063594810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103300915
- Practice address
- 6512 Woodlake Village Cir
Midlothian, VA 23112-2200 - Phone
- (804) 739-6730
- Fax
- (804) 739-6894
- NPI assigned
- Oct 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103300915 | VA | Primary |
Addresses
Primary practice location
6512 Woodlake Village Cir
Midlothian, VA 23112-2200
Mailing address
6512 Woodlake Village Cir
Midlothian, VA 23112-2200
Phone (804) 739-6730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5293010001 | Other | VA | MEDICARE DME PROVIDER |
| 010091144 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040710000082 | VA | Practitioner - Podiatry | 6901884527 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult & Child Foot & Ankle Care, LLC | Current | Accepting new patients |
Locations
6512 Woodlake Village Cir
Midlothian, VA 23112
Phone (804) 739-6370
2184 Plainview Ctr
Powhatan, VA 23139
Phone (804) 403-3000
Interoperability endpoints
- https://api.platform.athenahealth.com/6846/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Powhatan, VA
- NPI 1578800538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1063594810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 WOODLAKE VILLAGE CIR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122200",
"telephone_number": "804-739-6730",
"fax_number": "804-739-6894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6512 WOODLAKE VILLAGE CIR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231122200",
"telephone_number": "804-739-6730",
"fax_number": "804-739-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "0103300915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME PROVIDER",
"identifier": "5293010001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010091144",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.