Active NPI
Alisa McMahon, AUD
- Audiologist
- Simpsonville, SC
National Provider Identifier
1932118502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SC2450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, UT
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC2450 | SC | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easley Head & Neck Surgery, PA | Current | Accepting new patients | |
| Intermountain Ear,Nose, and Throat Specialists LLC | Current | 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
- 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.
-
- Specialist
- Easley, SC
- NPI 1164481057
-
- Medical Specialty Clinic/Center
- Salt Lake City, UT
- NPI 1487764411
-
- Otolaryngology Physician
- Simpsonville, SC
- NPI 1215086038
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295769438
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1871895771
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.