Active NPI
Erica Leigh McMahon, CST/CSFA
- Surgical Assistant
- Dahlonega, GA
National Provider Identifier
1386907822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 134116
- Practice address
- 70 Ansley Dr
Dahlonega, GA 30533-1613 - Phone
- (706) 864-7904
- Fax
- (706) 867-4186
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 134116 | GA | Primary |
Addresses
Primary practice location
70 Ansley Dr
Dahlonega, GA 30533-1613
Mailing address
1422 Bill Presley Rd
Cleveland, GA 30528-6014
Phone (678) 779-0475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134116 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1386907822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 BILL PRESLEY RD",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305286014",
"telephone_number": "678-779-0475",
"fax_number": "706-867-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 ANSLEY DR",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305331613",
"telephone_number": "706-864-7904",
"fax_number": "706-867-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHON",
"first_name": "ERICA",
"middle_name": "LEIGH",
"credential": "CST/CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "GA",
"license": "134116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.