Individual provider Active NPI

Stephanie Jo Perkins Mahan, D.O.

  • Family Medicine Physician
  • Corydon, IA
National Provider Identifier
1174937494
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO04769 Issued in IA
Practice address
515 E Marion St
Corydon, IA 50060-1813
Phone
(641) 505-1474
Fax
(515) 328-4662
NPI assigned
Jun 14, 2014
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023046684 MO
Family Medicine Physician 207Q00000X DO04769 IA Primary

Addresses

Primary practice location

515 E Marion St
Corydon, IA 50060-1813

Mailing address

406 S Lincoln St
Corydon, IA 50060-1704
Phone (641) 505-1474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 25, 2025 through Dec 25, 2027

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne County HospitalGroup PAC ID 4082508734, 46 clinicians

Practice addresses (Care Compare)

417 S E St
Corydon, IA 50060-1860
Phone (641) 872-2063

417 S E St
Corydon, IA 50060-1865
Phone (641) 872-2260

515 W Wall St
Seymour, ID 52590-1333
Phone (641) 898-2898

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO04769IAMDFamily Medicine Physician
2023046684MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital Current Accepting new patients
Medicine Creek Wellness, PLLC CurrentSince Jan 4, 2026 Accepting new patients

Locations

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

Interoperability endpoints

  • Direct secure messaging: smahan@wchclinics.gwaydirect.com

Organizations & group practices 2

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 3

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": "1402704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1174937494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S LINCOLN ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601704",
            "telephone_number": "641-505-1474",
            "fax_number": "515-328-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MARION ST",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601813",
            "telephone_number": "641-505-1474",
            "fax_number": "515-328-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS MAHAN",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023046684",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO04769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

Verify at the official NPI Registry.