Organization Active NPI

McMahan Shoes, Inc

  • Specialist
  • Spartanburg, SC
National Provider Identifier
1356492854
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MCMAHAN SHOES, INC
Practice address
249 E Main St
Spartanburg, SC 29306-5135
Phone
(864) 585-1579
Fax
(864) 597-1071
NPI assigned
Jan 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. George N Psillas, CERTIFIED PEDORTHIST
Title
President
Phone
(864) 585-1579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SC Primary

Addresses

Primary practice location

249 E Main St
Spartanburg, SC 29306-5135

Mailing address

PO Box 6142
Spartanburg, SC 29304-6142
Phone (864) 585-1579

National Provider Directory

National Provider Directory

Locations

249 E Main St
Spartanburg, SC 29306
Phone (864) 585-1579

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356492854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6142",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293046142",
            "telephone_number": "864-585-1579",
            "fax_number": "864-597-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293065135",
            "telephone_number": "864-585-1579",
            "fax_number": "864-597-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMAHAN SHOES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PSILLAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-585-1579",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.