NPIMap

Individual provider Active NPI

William Stanley McMahon, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Munford, TN
National Provider Identifier
1700487493
Registry record updated Nov 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12339208 Issued in TN
Practice address
56 E Main St
Munford, TN 38058-6054
Phone
(901) 827-3735
NPI assigned
Nov 8, 2020
Last updated
Nov 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12339208 TN Primary

Addresses

Primary practice location

56 E Main St
Munford, TN 38058-6054

Mailing address

56 E Main St
Munford, TN 38058-6054
Phone (901) 837-3735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220602001369 TN Practitioner - Nurse Practitioner 8628456670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armour Family Medicine, PLLCGroup PAC ID 7012057854, 7 clinicians
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

728 W Sherrod Ave
Covington, TN 38019-3024
Phone (901) 857-2296

8507 US Hwy 51 N
Suite 107
Millington, TN 38053-1535
Phone (901) 873-2555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
12339208TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Armour Family Medicine, PLLC CurrentSince Jan 14, 2022 Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Sep 28, 2023 Accepting new patients
Covington Internal Physicians PC CurrentSince Nov 15, 2020 Accepting new patients
SFMP, Inc. PastSince Sep 28, 2023 Accepting new patients
Midsouth Independent Group, PLLC PastSince Jan 14, 2022 Accepting new patients

Locations

728 W Sherrod Ave
Covington, TN 38019
Phone (901) 476-7779

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

8507 US Highway 51 N
Ste 107
Millington, TN 38053
Phone (901) 873-2555

56 E Main St
Munford, TN 38058
Phone (901) 476-7178

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.400379
  • Direct secure messaging: william.mcmahon.1@16700.direct.athenahealth.com

Organizations & group practices 5

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 7

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": "1604793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604793600000",
    "number": "1700487493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586054",
            "telephone_number": "901-837-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 E MAIN ST",
            "city": "MUNFORD",
            "state": "TN",
            "postal_code": "380586054",
            "telephone_number": "901-827-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "WILLIAM",
        "middle_name": "STANLEY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-08",
        "last_updated": "2020-11-08",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12339208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munford, TN

Sources for this page

Verify at the official NPI Registry.