Individual provider Active NPI

John-Emmett Mahon, MD

  • Pediatrics Physician
  • Paducah, KY
National Provider Identifier
1528555059
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
54998 Issued in KY
Practice address
225 Medical Center Dr Ste 201a
Paducah, KY 42003-7907
Phone
(270) 442-6161
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 54998 KY Primary

Addresses

Primary practice location

225 Medical Center Dr Ste 201a
Paducah, KY 42003-7907

Mailing address

225 Medical Center Dr Ste 201a
Paducah, KY 42003-7907

Other practice location 1

100 Clint Hill Blvd Ste 100
Paducah, KY 42001-6771
Phone (270) 441-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210622002231 KY Practitioner - General Practice 7315348851 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54998KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Ky Urgent Care LLC CurrentSince Apr 30, 2025 Accepting new patients
Mercy Health Physicians Kentucky LLC Pediatrics CurrentSince May 1, 2023 Accepting new patients

Locations

225 Medical Center Dr
Ste 201A
Paducah, KY 42003
Phone (270) 442-6161

100 Clint Hill Blvd
Ste 100
Paducah, KY 42001
Phone (270) 441-4357

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

225 Medical Center Dr
Ste 101
Paducah, KY 42003
Phone (270) 441-4357

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

548 Lone Oak Rd
Paducah, KY 42003
Phone (270) 415-4645

Interoperability endpoints

  • Direct secure messaging: jmahon1698891@direct.bsmhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1528555059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 201A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 201A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037907",
            "telephone_number": "270-442-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Clint Hill Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420016771",
            "country_code": "US",
            "telephone_number": "270-441-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHON",
        "first_name": "JOHN-EMMETT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "54998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.