Individual provider Active NPI

Harrison S Mahon, MD

  • Orthopaedic Surgery Physician
  • Fleming Island, FL
National Provider Identifier
1477943579
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME151513 Issued in FL
Practice address
1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505
Phone
(904) 161-9503
Fax
(904) 376-3062
NPI assigned
Jan 27, 2015
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME151513 FL Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME151513 FL

Addresses

Primary practice location

1747 Baptist Clay Dr Ste 200
Fleming Island, FL 32003-8505

Mailing address

PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210727002760 FL Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 9032426515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Northwestern University Feinberg Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyerly Baptist IncGroup PAC ID 9830112226, 72 clinicians

Practice addresses (Care Compare)

1747 Baptist Clay Dr
Suite 200
Fleming Island, FL 32003-8505
Phone (904) 516-1950

916 Kingsbay Rd
Suite B
Saint Marys, GA 31558-3745
Phone (912) 576-3802

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)33
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Orthopaedic Institute PA Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Lyerly Baptist Inc Orthopaedic Surgery CurrentSince Jan 1, 2025 Accepting new patients
The Orthopaedic Institute, PA Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients

Locations

1747 Baptist Clay Dr
Ste 200
Fleming Isle, FL 32003
Phone (904) 202-6683

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041

146 SW Orthopedic Ct
Lake City, FL 32024
Phone (386) 755-9215

Interoperability endpoints

  • Direct secure messaging: hmahon@ocp.emadirect.md
  • Direct secure messaging: hmahon247949@baptisthealthsystemjacksonville.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1477943579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746647",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746647",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 BAPTIST CLAY DR STE 200",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038505",
            "telephone_number": "904-161-9503",
            "fax_number": "904-376-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "HARRISON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME151513",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME151513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.