Active NPI
McMahan Shoes, Inc.
- Durable Medical Equipment & Medical Supplies
- Decatur, GA
National Provider Identifier
1124059886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MCMAHAN SHOES, INC.
- Practice address
- 2122 N Decatur Rd
Decatur, GA 30033-5367 - Phone
- (404) 634-9500
- Fax
- (404) 634-9555
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Forrest E. McMahan, C. PED.
- Title
- President
- Phone
- (404) 634-9500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2122 N Decatur Rd
Decatur, GA 30033-5367
Mailing address
2122 N Decatur Rd
Decatur, GA 30033-5367
Phone (404) 634-9500
National Provider Directory
National Provider DirectoryLocations
2122 N Decatur Rd
Decatur, GA 30033
Phone (404) 634-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256256000000",
"number": "1124059886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335367",
"telephone_number": "404-634-9500",
"fax_number": "404-634-9555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 N DECATUR RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300335367",
"telephone_number": "404-634-9500",
"fax_number": "404-634-9555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMAHAN SHOES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2009-10-23",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "FORREST",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-634-9500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C. PED."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.