Individual provider Active NPI

Alan P McMahan, MD

  • Surgery Physician
  • Eastman, GA
National Provider Identifier
1467569624
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
034017 Issued in GA
Practice address
1085 Plaza Ave
Eastman, GA 31023-9102
Phone
(478) 559-1098
Fax
(478) 783-4905
NPI assigned
Aug 24, 2006
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 034017 GA
Surgery Physician 208600000X 034017 GA Primary

Addresses

Primary practice location

1085 Plaza Ave
Eastman, GA 31023-9102

Mailing address

202 Perry Hwy
Ste 104
Hawkinsville, GA 31036-6748
Phone (478) 783-4924

Other identifiers 1

IdentifierTypeStateIssuer
000457223IMedicaidGA

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
I20080820000329 GA Practitioner - General Surgery 1557436979 Practice locations: Eastman, GA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin County Hospital Surgery Current Accepting new patients
Heart of Georgia Surgery Associates, LLC Surgery Past Accepting new patients
Taylor Regional Hospital Surgery PastSince Apr 3, 2022 Accepting new patients

Locations

602 N Irwin Ave
Ocilla, GA 31774
Phone (229) 368-0711

602 N Irwin Ave
Ste A
Ocilla, GA 31774
Phone (229) 468-0711

Interoperability endpoints

  • Direct secure messaging: alan.mcmahan@irwincohosp.gadirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1467569624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PERRY HWY",
            "address_2": "STE 104",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310366748",
            "telephone_number": "478-783-4924",
            "fax_number": "478-783-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-559-1098",
            "fax_number": "478-783-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "ALAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "034017",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "034017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457223I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastman, GA

Sources for this page

Verify at the official NPI Registry.