Active NPI
Andrea McMahan
- Physical Therapist
- Sandy Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0037307
- Practice address
- 25 Glenlake Pkwy
Sandy Springs, GA 30328-3403 - Phone
- (470) 532-8056
- Fax
- (317) 884-3388
- NPI assigned
- May 15, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT0037307 | GA | Primary |
Addresses
Primary practice location
25 Glenlake Pkwy
Sandy Springs, GA 30328-3403
Mailing address
9701 Wesleyan Rd
Suite 100
Indianapolis, IN 46268
Phone (800) 603-6046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
255 Vaughn Dr
Alpharetta, GA 30009-2415
Phone (770) 521-9707
3712 Executive Ctr Dr
Suite a
Martinez, GA 30907-5098
Phone (706) 252-3332
3725 Wheeler Rd
Augusta, GA 30909-6623
Phone (706) 364-3325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0037307 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Aging Therapist LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698
100 Washington Commons Dr
Evans, GA 30809
Phone (706) 426-8136
3712 Executive Center Dr
Ste A
Martinez, GA 30907
Phone (706) 252-3332
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1417447459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9701 WESLEYAN RD",
"address_2": "SUITE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46268",
"telephone_number": "800-603-6046",
"fax_number": "317-884-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GLENLAKE PKWY",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303283403",
"telephone_number": "470-532-8056",
"fax_number": "317-884-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMAHAN",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT0037307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.