NPIMap

Individual provider Active NPI

Iryna Mahan, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Pinehurst, NC
National Provider Identifier
1114543279
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2025-00426 Issued in NC
Practice address
30 Page St
Pinehurst, NC 28374-7928
Phone
(910) 687-4188
NPI assigned
Jun 24, 2020
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT220685 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2025-00426 NC Primary

Addresses

Primary practice location

30 Page St
Pinehurst, NC 28374-7928

Mailing address

PO Box 4270
Pinehurst, NC 28374-4270
Phone (910) 687-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250514002370 NC Practitioner - Pathology 8224451778 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Pathology Group PLLCGroup PAC ID 7810955168, 23 clinicians

Practice addresses (Care Compare)

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-4815

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT220685PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Jul 1, 2025 Accepting new patients
Raleigh Medical Group, PA CurrentSince Jul 1, 2025 Accepting new patients
Coastal Carolina Health Care CurrentSince Jul 1, 2025 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Eagle Physicians and Associates PA Current Accepting new patients
Marlboro Chesterfield Pathology, PC Anatomic Pathology & Clinical Pathology CurrentSince May 11, 2025 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Jul 1, 2025 Accepting new patients
Coastal Carolina Health Care PA CurrentSince Jul 1, 2025 Accepting new patients
Wilmington Gastroenterology Associates,PA CurrentSince Jul 1, 2025 Accepting new patients

Locations

1002 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 378-0713

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

3100 Wellons Blvd
New Bern, NC 28562
Phone (252) 634-9000

30 Page St
Pinehurst, NC 28374
Phone (910) 205-8000

2615 Lake Dr
Ste 101
Raleigh, NC 27607
Phone (919) 341-3560

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

Organizations & group practices 11

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1114543279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4270",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283744270",
            "telephone_number": "910-687-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PAGE ST",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747928",
            "telephone_number": "910-687-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "IRYNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT220685",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2025-00426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.