Cory Andrew McMahon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

213428 Issued in AR

Practice address

201 N Clifton St
Fordyce, AR 71742-3026

Phone

(870) 352-6354

Fax

(870) 352-6361

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Board of Governors of Dallas County Medical Center 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Fordyce, AR, CCN 047169
• Dallas County Medical Center Hospital, Fordyce, AR, CCN 041317
• Bradley County Medical Center Hospital, Warren, AR, CCN 041327
• Dallas County Medical Center Nursing home, CCN 04Z317

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Board of Governors of Dallas County Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fordyce, AR
  • NPI 1043308935

  AR

  Medicare reassignment Care Compare group NPD
• Board of Governors of Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029

  AR

  Medicare reassignment Care Compare group NPD
• Icp Arkansas Aco Billing LLC

  • Clinical Nurse Specialist
  • Maumelle, AR
  • NPI 1679157838

  AR

  Medicare reassignment NPD
• Integrated Care Professionals, LLC

  • Clinical Nurse Specialist
  • Little Rock, AR
  • NPI 1164762662

  AR

  Medicare reassignment NPD
• SHC Medical Partners of Arkansas, LLC

  • Nurse Practitioner
  • Little Rock, AR
  • NPI 1821830795

  AR

  Medicare reassignment NPD
• Board of Governors of Dallas County Medical Center

  • Rural Health Clinic/Center
  • Fordyce, AR
  • NPI 1346378528
  Care Compare group NPD
• Board of Governors of Dallas County Medical Center

  • Rural Health Clinic/Center
  • Fordyce, AR
  • NPI 1508364241
  Care Compare group NPD (past)
• Board of Governors of Dallas County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Fordyce, AR
  • NPI 1275708885
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Board of Governors of Dallas County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Fordyce, AR
  • NPI 1275708885

  Nursing home

  Care Compare affiliation
• Board of Governors of Dallas County Medical Center

  • Critical Access Hospital
  • Fordyce, AR
  • NPI 1306826029

  Hospital

  Care Compare affiliation
• Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
  • NPI 1194741611

  Hospital

  Care Compare affiliation
• Dallas County Medical Center Home Care, LLC

  • Home Health Agency
  • Fordyce, AR
  • NPI 1205546702
  Care Compare affiliation

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1679176002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SALVATION LN",
            "city": "RISON",
            "state": "AR",
            "postal_code": "716659604",
            "telephone_number": "870-723-1243",
            "fax_number": "870-352-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CLIFTON ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423026",
            "telephone_number": "870-352-6354",
            "fax_number": "870-352-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "CORY",
        "middle_name": "ANDREW",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "213428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christal Martindale, ANP
• Donna Martindale, MHPP
• Christopher McDaniel, MD
• John D McIntire, M.S., L.P.C.
• Melinda McKay, LAC
• Michael D Payne MD PLLC PA
• Youlonda Nix Miller, MHPP
• Joy Susanne Moody, COTA
• Dan Moore, M.S., L.A.C.
• Patrick Paul Moseley Jr., D.D.S.

• All providers in Fordyce, AR
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.