Individual provider Active NPI

William Lewis McMahon, MD MS

  • Emergency Medicine Physician
  • Suwanee, GA
National Provider Identifier
1891853420
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
45885 Issued in GA
Practice address
4905 Winding Rose Dr
Suwanee, GA 30024-3074
Phone
(770) 313-2034
NPI assigned
Dec 5, 2006
Last updated
Nov 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 45885 GA Primary

Addresses

Primary practice location

4905 Winding Rose Dr
Suwanee, GA 30024-3074

Mailing address

4905 Winding Rose Dr
Suwanee, GA 30024-3074
Phone (678) 889-4880

Other identifiers 1

IdentifierTypeStateIssuer
00809322BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070905000380 GA Practitioner - Emergency Medicine 5496848541 Reassigns benefits to 3 organizations
I20150226000799 MS Practitioner - Emergency Medicine 5496848541 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45885GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince May 4, 2013 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Aug 1, 2012 Accepting new patients
Mississippi Physicians LLP Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Mississippi Physicians LLP Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Covenant Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cartersville Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Suwanee Physicians, LLC PastSince Mar 17, 2010 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1891853420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 WINDING ROSE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243074",
            "telephone_number": "678-889-4880",
            "fax_number": "678-889-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 WINDING ROSE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243074",
            "telephone_number": "770-313-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "WILLIAM",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "MD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "45885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00809322B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.