Daniel McMahon, M.D.
Individual provider Active NPI Family Medicine Physician · Holly Springs, GA
NPI 1386089720 · NPPES record last updated Jun 19, 2020
Key facts
- NPI
- 1386089720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 076463 (GA)
- Practice address
- 684 Sixes Rd Ste 105
Holly Springs, GA 30115-8720 - Phone
- (678) 388-5170
- NPI assigned
- Apr 29, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northside Primary Care Professional Services,LLC
Physiotherapy Associates Inc
Practice addresses (Care Compare)
3340 Paddock Pkwy
Suwanee, GA 30024-9119
Phone (678) 679-6210
3350 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
3380 Paddocks Pkwy
Suwanee, GA 30024-9119
Phone (678) 474-9633
655 Molly LN
Suite 100
Woodstock, GA 30189-6519
Phone (770) 517-1080
684 Sixes Rd
Suite 105
Holly Springs, GA 30115-8720
Phone (678) 388-5170
Hospital & facility affiliations
- Centerwell Home Health
- Accentcare Home Health of Georgia
- Amedisys Northwest Home Health
- Northside Hospital Cherokee
- Northside Hospital
- Wellstar Kennestone Regional Medical Center
- Wellstar Windy Hill Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160817002361 | GA | Practitioner - Family Practice | 5597050476 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Northside Primary Care Professional Services,LLC | Family Medicine | Current |
Accepting new patients |
| Northside Primary Care Professional Services, LLC | Current |
Accepting new patients |
Locations
1515 River Pl
Ste 280
Braselton, GA 30517
Phone (678) 207-4477
1515 River Pl
Ste 200
Braselton, GA 30517
Phone (770) 848-6103
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
684 Sixes Rd
Ste 105
Holly Springs, GA 30115
Phone (678) 388-5170
1285 Upper Hembree Rd
Ste 205
Roswell, GA 30076
Phone (770) 521-1587
3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633
900 Towne Lake Pkwy
Ste 410
Woodstock, GA 30189
Phone (678) 445-0819
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 076463 | GA | Yes |
Addresses
Primary practice location
684 Sixes Rd Ste 105
Holly Springs, GA 30115-8720
Mailing address
684 Sixes Rd Ste 105
Holly Springs, GA 30115-8720
Phone (678) 388-5170
Other providers in Holly Springs, GA
- Lamplight Behavior Analysis, LLC
- Lora Eve Lyon
- Ashley Martinez
- Lauren Ashley May
- Tami McCoy
- Medcare Transportation LLC
- Meridian Surgical, PC
- William Trent Milford
- Robert Allen Mills
- Joanna Miragaya
All providers in Holly Springs, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.