Philip Andrew Mahan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2779 Issued in NC

Practice address

813 S Main St
Lexington, NC 27292-3150

Phone

(336) 243-8000

Fax

(336) 243-8001

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• South Main Chiropractic of Lexington, PLLC

  • Clinic/Center
  • Lexington, NC
  • NPI 1679678171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1720075997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 S MAIN ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923150",
            "telephone_number": "336-243-8000",
            "fax_number": "336-243-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 S MAIN ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923150",
            "telephone_number": "336-243-8000",
            "fax_number": "336-243-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FITSR HEALTH",
            "identifier": "2024315",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "08453",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN CHIROPRACTIC NET",
            "identifier": "616607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "6416476001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2684545",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PATRNERS",
            "identifier": "37243",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7108174",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7908453",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Reishun Lyde, LCMHC,LCAS-P
• Wendy Michelle Lyerly, RN
• M Medical NC PLLC
• Kelli Claire Mackie, OTR/L
• Nwannedimma Onyekachi Maduabum
• Robert G Mahan, MD
• Prerna Maharjan, FNP-BC
• Caitlin Grace Mahoney, MD
• Helen Jean Macmillan Malone, MD
• Shombai L Malone, OTR

• Chiropractor in Lexington, NC
• Providers in Lexington, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.