Individual provider Active NPI

Daniel McMahon, M.D.

  • Family Medicine Physician
  • Holly Springs, GA
National Provider Identifier
1386089720
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
076463 Issued in GA
Practice address
684 Sixes Rd Ste 105
Holly Springs, GA 30115-8720
Phone
(678) 388-5170
NPI assigned
Apr 29, 2013
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 076463 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160817002361 GA Practitioner - Family Practice 5597050476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
076463GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Primary Care Professional Services, LLC CurrentSince Aug 13, 2020 Accepting new patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Northside Primary Care Professional Services,LLC Family Medicine CurrentSince Aug 13, 2020 Accepting new patients

Locations

1515 River Pl
Ste 200
Braselton, GA 30517
Phone (770) 848-6103

1515 River Pl
Ste 280
Braselton, GA 30517
Phone (678) 207-4477

200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991

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

Organizations & group practices 3

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 7

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1386089720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 105",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158720",
            "telephone_number": "678-388-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 SIXES RD STE 105",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158720",
            "telephone_number": "678-388-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "076463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

Verify at the official NPI Registry.