NPIMap

Individual provider Active NPI

Scott W McMahon, MD

  • Pediatrics Physician
  • Roswell, NM
National Provider Identifier
1528078938
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
92-302 Issued in NM
Practice address
330 N Main St
Roswell, NM 88201-4725
Phone
(575) 624-2095
Fax
(575) 208-0780
NPI assigned
Aug 8, 2006
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 92-302 NM Primary
General Practice Physician 208D00000X 92-302 NM

Addresses

Primary practice location

330 N Main St
Roswell, NM 88201-4725

Mailing address

PO Box 711
Roswell, NM 88202-0711
Phone (575) 624-2095

Other practice location 1

117 E 19TH St
Roswell, NM 88201-5151
Phone (575) 624-2095

Other identifiers 2

IdentifierTypeStateIssuer
NM009Y96OtherNMBLUE CROSS BLUE SHIELD ID
17600065MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051102000201 NM Practitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Family Practice 5496799140 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92-302NMMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHLP LLC Pediatrics CurrentSince Apr 23, 2014 Accepting new patients
Deming Hospital Corporation Current Accepting new patients
Roswell Clinic Corp CurrentSince Aug 1, 2022 Accepting new patients
Roswell Clinic Corp CurrentSince Aug 1, 2022 Accepting new patients
Wellspring of Life Enterprises LLC CurrentSince Dec 28, 2025 Accepting new patients
Deming Hospital Corporation CurrentSince Nov 6, 2019 Accepting new patients
Deming Hospital Corporation Pediatrics CurrentSince Nov 6, 2019 Accepting new patients
Pecos Valley of New Mexico, LLC General Practice CurrentSince Sep 21, 2018 Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Lovelace Health System LLC Past Accepting new patients

Locations

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

905 S 8th St
Deming, NM 88030
Phone (575) 543-7200

109 W Bland St
Roswell, NM 88203
Phone (505) 623-1480

601 W Country Club Rd
Ste 101
Roswell, NM 88201
Phone (575) 622-8170

Interoperability endpoints

  • Direct secure messaging: scott.mcmahon.1@6965.direct.athenahealth.com
  • Direct secure messaging: smcmah09@yourcarecommunity.org
  • Direct secure messaging: smcmahon179323@ahs.direct-ci.com

Organizations & group practices 12

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1528078938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882020711",
            "telephone_number": "575-624-2095",
            "fax_number": "575-208-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014725",
            "telephone_number": "575-624-2095",
            "fax_number": "575-208-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E 19TH ST",
            "address_purpose": "LOCATION",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015151",
            "country_code": "US",
            "telephone_number": "575-624-2095",
            "fax_number": "575-208-0780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "92-302",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "92-302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "NM009Y96",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17600065",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.