Kanchan Puranik McMahan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36583 Issued in NC

Practice address

3250 Freedom Dr
Charlotte, NC 28208-2817

Phone

(704) 659-0645

NPI assigned

Jan 3, 2006

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Centerwell Senior Primary Care (NC) PC

  dba CenterWell Senior Primary Care-Gastonia

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1073034625
  Medicare reassignment NPD
• Centerwell Senior Primary Care (NC), P.C.

  dba CenterWell Senior Primary Care (NC), P.C. - Burlington

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1497575997
  NPD
• Gaston Memorial Hospital, Incorporated

  dba CaroMont Laboratory Services

  • Clinical Medical Laboratory
  • Gastonia, NC
  • NPI 1568974665
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1649258492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 APPALOOSA WAY",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280560316",
            "telephone_number": "704-616-3589",
            "fax_number": "704-671-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282082817",
            "telephone_number": "704-659-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "KANCHAN",
        "middle_name": "PURANIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "36583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya S McLeod, M.D.
• Emily McLoughlin, PT, DPT
• Jill H. McLoughlin, M.D.
• Kayley McLynn
• McMahan Shoes of NC Inc (McMahan Shoes)
• Aaliyah McMahon
• Allison McMahon, D.D.S.
• Daniel P. McMahon, MD
• Samuel Paul McManama
• Joanne Frances McManaman, M.D.

• Internal Medicine Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.