Individual provider Active NPI

Alisa McMahon, AUD

  • Audiologist
  • Simpsonville, SC
National Provider Identifier
1932118502
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
SC2450 Issued in SC
Practice address
879 NE Main St
Simpsonville, SC 29681-2055
Phone
(864) 281-9440
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X SC2450 SC Primary

Addresses

Primary practice location

879 NE Main St
Simpsonville, SC 29681-2055

Mailing address

131 Commonwealth Dr
Suite 290
Greenville, SC 29615-4883
Phone (864) 281-9440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000395 SC Practitioner - Qualified Audiologist 7315934718 Reassigns benefits to 1 organization
I20240820001995 UT Practitioner - Qualified Audiologist 7315934718 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC2450SCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easley Head & Neck Surgery, PA CurrentSince Jan 4, 2017 Accepting new patients
Intermountain Ear,Nose, and Throat Specialists LLC CurrentSince May 23, 2024 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
St Francis Physician Services Inc Past Accepting new patients
Carolina ENT, PA Past Accepting new patients

Locations

115 Whitmire Rd
Easley, SC 29640
Phone (864) 855-2411

756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579

4063 W 12600 S
Riverton, UT 84096
Phone (801) 495-4800

22 S 9th E
Slc, UT 84102
Phone (801) 328-7522

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.125004

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932118502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COMMONWEALTH DR",
            "address_2": "SUITE 290",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154883",
            "telephone_number": "864-281-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 NE MAIN ST",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812055",
            "telephone_number": "864-281-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ALISA",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "SC2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.