Individual provider Active NPI

Amber Lee McMahan, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1952852949
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NCO-000003 Issued in GA
Practice address
1506 Broadrick Dr
Dalton, GA 30720-3011
Phone
(706) 278-3431
Fax
(706) 370-4859
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NCO-000003 GA Primary

Addresses

Primary practice location

1506 Broadrick Dr
Dalton, GA 30720-3011

Mailing address

1506 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-3431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161207001598 GA Practitioner - Nurse Practitioner 6507146628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology and Hypertension Specialists PCGroup PAC ID 7911995352, 8 clinicians

Practice addresses (Care Compare)

1506 Broadrick Dr
Dalton, GA 30720-3011
Phone (706) 278-3430

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as group
Quality
77.51
Promoting interoperability
100
Improvement activities
40
Cost
81.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NCO-000003GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Hypertension Specialists PC CurrentSince Oct 1, 2016 Accepting new patients
Hamilton Physician Group Inc Past Accepting new patients

Locations

1060 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 314-1910

1506 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-3430

Interoperability endpoints

  • Direct secure messaging: amcmahan25999@direct.acumenmd.com

Organizations & group practices 2

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.

Hospital & facility affiliations 4

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1952852949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-3431",
            "fax_number": "706-370-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 BROADRICK DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203011",
            "telephone_number": "706-278-3431",
            "fax_number": "706-370-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "NCO-000003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.